Male or Other

Prudhvi Rajan Karumanchi M.D., M.P.H.

Hospitalist Physician in Tampa, FL(View on Map)

Full Name

Prudhvi Rajan Karumanchi M.D., M.P.H.

NPI Number

1477723781

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/04/2008

Specialties

(Taxonomies)

Code

208M00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME126502

Contact
Information

Purpose

Mailing
Location

Address

3001 W DR. MARTIN LUTHER KING JR. BLVD 3 EAST
3001 W. DR. MARTIN LUTHER KING JR. BLVD

City

Tampa
Tampa

State

FL
FL

Postal Code

33607
33607

Country

US
US

Telephone Number

(813) 337-7535
(813) 337-7535

Identifiers

Identifier

018568200
200738900A
511630601949-003
068002136
036126553
125050813
ME126502

Identifier State

FL
KS
FL
KS
IL
IL
FL

Identifier Issuer

Unknown
Unknown
MEDICARE
MEDICARE PTAN
STATE MEDICAL BOARD
PHYSICIAN TEMPORARY LICEN
STATE MEDICAL BOARD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/01/2024

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