Telukuntla, Koteshwar R

Telukuntla, Koteshwar R is an individual health care provider with primary practice located at 3630 Manatee Ave W Ste B, Bradenton FL 34205-2557. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Telukuntla, Koteshwar R can be contacted via phone (941) 792-1881.

Contact Information

Primary practice address
3630 Manatee Ave W Ste B Bradenton FL 34205-2557
Phone: (941) 792-1881
Fax: (941) 795-3924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME72534 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME72534 Florida

Profile Details

NPI number 1588667901
LBN Legal business name Telukuntla, Koteshwar R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Sep 2nd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588667901 NPPES
Florida MEDICAID 259061100
Florida Other P00387326

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