Poorna Prasad Reddy Mudusu

Pharmacist · Coral Gables, FL

Individual Active NPI

NPI number 1619254836

Practice location

4200 SW 8TH St
Coral Gables, FL 33134-2619
Phone
(305) 444-2544

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NPI record

NPI
1619254836
Entity type
Individual (Type 1)
Enumeration date
November 16, 2011
Last updated
November 16, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PS39348 FL

About Poorna Mudusu

Poorna Prasad Reddy Mudusu is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 4200 SW 8TH St, Coral Gables, FL 33134-2619. The NPI number 1619254836 was assigned on November 16, 2011 and the record was last updated on November 16, 2011.

Poorna Mudusu lists a license in the registry: #PS39348 (FL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Poorna Prasad Reddy Mudusu?

The NPI number is 1619254836.

What is the phone number of Poorna Mudusu?

The phone number listed for the practice location is (305) 444-2544.

Where is Poorna Mudusu located?

4200 SW 8TH St, Coral Gables, FL 33134-2619.

What is the taxonomy code for Poorna Mudusu?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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