Provider Demographics
NPI:1942239025
Name:PALADUGU, RAMANABABU V (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMANABABU
Middle Name:V
Last Name:PALADUGU
Suffix:
Gender:M
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:PO BOX 3925
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33775-3925
Mailing Address - Country:US
Mailing Address - Phone:727-319-8900
Mailing Address - Fax:727-319-8700
Practice Address - Street 1:11200 SEMINOLE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33778-3239
Practice Address - Country:US
Practice Address - Phone:727-319-8900
Practice Address - Fax:727-319-8700
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79071207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4638OtherMEDICARE GROUP
FL269169800Medicaid
FL571170980OtherTAX ID
FLP00060383OtherRAILROAD MEDICARE
FL269169800Medicaid
FLP00060383OtherRAILROAD MEDICARE
FL05545OtherUNIVERSAL
FL571170980OtherTAX ID
FL269169800Medicaid
FL571170980OtherTAX ID