Provider Demographics
NPI:1356780779
Name:KESHAV RAMIREDDY P L
Entity type:Organization
Organization Name:KESHAV RAMIREDDY P L
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KESHAV
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-463-0607
Mailing Address - Street 1:3762 EXECUTIVE DR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-1019
Mailing Address - Country:US
Mailing Address - Phone:727-463-0607
Mailing Address - Fax:727-781-3312
Practice Address - Street 1:3762 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-1019
Practice Address - Country:US
Practice Address - Phone:727-463-0607
Practice Address - Fax:727-781-3312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0075518207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty