Provider Demographics
NPI:1265609580
Name:PINNAMANENI, SUNEETA (MD)
Entity type:Individual
Prefix:
First Name:SUNEETA
Middle Name:
Last Name:PINNAMANENI
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 1:9832 US HIGHWAY 441
Mailing Address - Street 2:STE 101
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-3966
Mailing Address - Country:US
Mailing Address - Phone:352-787-3341
Mailing Address - Fax:352-787-7491
Practice Address - Street 1:9832 US HIGHWAY 441
Practice Address - Street 2:STE 101
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-3966
Practice Address - Country:US
Practice Address - Phone:352-787-3341
Practice Address - Fax:352-787-7491
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2010-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99681207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology