Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME131276 | FL |
N | 111NI0900X | Internist | ME131276 | FL |
N | 207RH0000X | Hematologist | ME131276 | FL |
Y | 207RX0202X | Medical Oncology | ME131276 | FL |
NPI | 1013238161 |
---|---|
Provider Name | Ramya Pinnamaneni |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Hudson, FL 34667-7181 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2010 |
Last Update Date | 18/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020330700 | (05) | FL |