Edla, Sushruth

Edla, Sushruth is an individual health care provider with primary practice located at 8575 Ne 138Th Ln Ste 203 , Lady Lake FL 32159-8996. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Edla, Sushruth can be contacted via phone (352) 674-2080.

Contact Information

Primary practice address
8575 Ne 138Th Ln Ste 203 Lady Lake FL 32159-8996
Phone: (352) 674-2080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57.020812 Ohio
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME177940 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2019014001 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 57.020812 Ohio
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 2019014001 Missouri

Profile Details

NPI number 1821343179
LBN Legal business name Edla, Sushruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2012
Last updated Apr 15th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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