Provider Demographics
NPI:1457419756
Name:VARKALA, SREELATHA (MD)
Entity Type:Individual
Prefix:
First Name:SREELATHA
Middle Name:
Last Name:VARKALA
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 1:5400 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-3833
Mailing Address - Country:US
Mailing Address - Phone:352-277-5348
Mailing Address - Fax:352-606-2857
Practice Address - Street 1:36542 SR 54
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-6938
Practice Address - Country:US
Practice Address - Phone:352-277-5462
Practice Address - Fax:352-616-0912
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME955528207R00000X
FLME95844207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA2878590OtherUHC
GA6010045OtherCIGNA
GA52230371OtherBCBS
GA01167457OtherAMERIGROUP
GA480753783AMedicaid
GA9180089OtherAETNA