Sundaresh, Koravangala K
Sundaresh, Koravangala K is an sole proprietor health care provider with primary practice located at 5131 Westshore Dr , New Port Richey FL 34652-8006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Sundaresh, Koravangala K can be contacted via phone (727) 845-3890.Contact Information
Primary practice address
5131 Westshore Dr
New Port Richey FL 34652-8006
Phone: (727) 845-3890
Fax: (727) 846-0112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME42812 | Florida |
Profile Details
| NPI number | 1336147487 |
|---|---|
| LBN Legal business name | Sundaresh, Koravangala K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2005 |
| Last updated | May 23rd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336147487 | NPPES |
| Florida | MEDICAID | 069547500 |
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