Provider Demographics
NPI:1578554481
Name:RAMIREDDY, KESAV R (MD)
Entity Type:Individual
Prefix:DR
First Name:KESAV
Middle Name:R
Last Name:RAMIREDDY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2410 NORTHSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2236
Mailing Address - Country:US
Mailing Address - Phone:727-499-0351
Mailing Address - Fax:727-781-3312
Practice Address - Street 1:13944 LAKESHORE BLVD STE E
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-1431
Practice Address - Country:US
Practice Address - Phone:727-862-1080
Practice Address - Fax:727-863-3093
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2023-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 75518207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252929700Medicaid
FL252929700Medicaid
FL43353XMedicare PIN
FL43353Medicare PIN