Mankodi, Meesha Kshemal

Mankodi, Meesha Kshemal is an individual health care provider with primary practice located at 2470 Bloomingdale Ave Ste 223 , Valrico FL 33596-6403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mankodi, Meesha Kshemal can be contacted via phone (813) 689-7139.

Contact Information

Primary practice address
2470 Bloomingdale Ave Ste 223 Valrico FL 33596-6403
Phone: (813) 689-7139
Fax: (813) 443-8157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME78663 Florida

Profile Details

NPI number 1316949688
LBN Legal business name Mankodi, Meesha Kshemal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 13th, 2019 - about 6 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316949688 NPPES
Florida MEDICAID 258352600

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