MEDICARE: DR. VENKATREDDY ALUGUBELLI M.D.

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	ME0055207	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080115776	OTHER	FL	RAILROAD MEDICARE PIN #
3	CN2848	OTHER	FL	RAILROAD MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417059056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VENKATREDDY ALUGUBELLI M.D.

Provider Business Mailing Address
First Line	:	3737 N LECANTO HWY
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-3504
Country	:	US
Telephone Number	:	352-746-1515
Fax Number	:	352-746-7767

Provider Business Practice Location Address
First Line	:	3737 N LECANTO HWY
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-3504
Country	:	US
Telephone Number	:	352-746-1515
Fax Number	:	352-746-7767

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

Provider Enumeration Date	:	09/03/2006
Last Update Date	:	03/30/2026

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Directions to “ DR. VENKATREDDY ALUGUBELLI M.D.” Practice Location

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