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Ami Shiddapur, MD
Student in an Organized Health Care Education/Training Program in Lutz, Florida
NPI 1215630496

Ami Shiddapur is a Student in an Organized Health Care Education/Training Program based in Clearwater, FL. Ami Shiddapur practices in Lutz, FL and has the professional credentials of MD. The NPI Number for Ami Shiddapur is 1215630496 and holds a License No. (Florida).

The current practice location address for Ami Shiddapur is 21808 State Road 54, Lutz, FL and can be reached out via phone at 813-922-8621.

Location: 21808 State Road 54, Lutz, FL, 33759-3012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215630496
Provider Name
Ami Shiddapur
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
21808 State Road 54, Lutz, FL, 33759-3012
Phone Number
813-922-8621
Fax Number
Provider Enumeration Date
03/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21808 State Road 54
City
Lutz
State
Florida
Zip
33549-6923
Phone Number
813-922-8621
Fax Number
person
Provider Business Mailing Address Details
Address
21808 State Road 54
City
Lutz
State
Florida
Zip
33549-6923
Phone Number
813-922-8621
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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