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NPI Code Detail

MEDICARE: DR. KAVITHA DASARI M.D.

MEDICARE: DR. KAVITHA DASARI 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
1207R00000XInternal Medicine PhysicianME110930FL
2390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679735021
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAVITHA DASARI M.D.
Provider Business Mailing Address
First Line : 10000 W COLONIAL DR STE 381
Second Line :
City : OCOEE
State : FL
Zip : 34761-3435
Country : US
Telephone Number : 321-841-3467
Fax Number : 407-253-2563
Provider Business Practice Location Address
First Line : 10000 W COLONIAL DR STE 381
Second Line :
City : OCOEE
State : FL
Zip : 34761-3435
Country : US
Telephone Number : 321-841-3467
Fax Number : 407-253-2563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2008
Last Update Date : 10/01/2025

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Directions to “ DR. KAVITHA DASARI M.D.” Practice Location

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