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NPI Code Detail

MEDICARE: NITHIN CHAKRAVARTHY KANUMURI

MEDICARE: NITHIN CHAKRAVARTHY KANUMURI
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1851249098
Entity Type Code : Individual
Provider Name (Legal Business Name) : NITHIN CHAKRAVARTHY KANUMURI
Provider Business Mailing Address
First Line : 720 W OAK ST STE 201
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-4998
Country : US
Telephone Number : 321-697-1782
Fax Number :
Provider Business Practice Location Address
First Line : 720 W OAK ST STE 201
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-4998
Country : US
Telephone Number : 321-697-1782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ NITHIN CHAKRAVARTHY KANUMURI ” Practice Location

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