Provider Demographics
NPI:1942512348
Name:DEMEL, RUKSAH NIRUPA
Entity Type:Individual
Prefix:
First Name:RUKSAH
Middle Name:NIRUPA
Last Name:DEMEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 EGRET LANDING PL APT 201
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-6789
Mailing Address - Country:US
Mailing Address - Phone:954-940-2545
Mailing Address - Fax:
Practice Address - Street 1:815 EGRET LANDING PL APT 201
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-6789
Practice Address - Country:US
Practice Address - Phone:954-940-2545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant