MEDICARE: SREEDHAR KATRAGADDA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	ME170871	FL
2	207RH0003X	Hematology & Oncology Physician	201802469	NC
3	207RH0003X	Hematology & Oncology Physician	0101245504	VA

General Provider Information

NPI Number	:	1346484896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SREEDHAR KATRAGADDA MD

Provider Business Mailing Address
First Line	:	2995 DREW ST FL 2
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:	727-532-0002
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 PINELLAS ST STE 220
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3318
Country	:	US
Telephone Number	:	727-462-3692
Fax Number	:	727-266-4935

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	03/11/2026

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