Provider Demographics
NPI:1427024983
Name:FOSTER, RUNI AREPALLY (MD)
Entity Type:Individual
Prefix:
First Name:RUNI
Middle Name:AREPALLY
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4741 N W 8TH AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605
Mailing Address - Country:US
Mailing Address - Phone:352-375-0302
Mailing Address - Fax:352-371-0456
Practice Address - Street 1:4741 N W 8TH AVE
Practice Address - Street 2:SUITE C
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605
Practice Address - Country:US
Practice Address - Phone:352-375-0302
Practice Address - Fax:352-371-0456
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0060743207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL375233000Medicaid
E42907Medicare UPIN
FL375233000Medicaid
K3010Medicare ID - Type UnspecifiedGRP #