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Gautam Maddineni, MBBS
Student in an Organized Health Care Education/Training Program in Cape Coral, Florida
NPI 1710628573

Gautam Maddineni is a Student in an Organized Health Care Education/Training Program based in Jacksonville, FL. Gautam Maddineni practices in Cape Coral, FL and has the professional credentials of MBBS. The NPI Number for Gautam Maddineni is 1710628573 and holds a License No. (Florida).

The current practice location address for Gautam Maddineni is 636 Del Prado Blvd S, Cape Coral, FL and can be reached out via phone at 239-424-3161.

Location: 636 Del Prado Blvd S, Cape Coral, FL, 32216-2209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710628573
Provider Name
Gautam Maddineni
Credential
MBBS
Provider Entity Type
Individual
Gender
Male
Address
636 Del Prado Blvd S, Cape Coral, FL, 32216-2209
Phone Number
239-424-3161
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
636 Del Prado Blvd S
City
Cape Coral
State
Florida
Zip
33990-2668
Phone Number
239-424-3161
Fax Number
person
Provider Business Mailing Address Details
Address
636 Del Prado Blvd S
City
Cape Coral
State
Florida
Zip
33990-2668
Phone Number
239-424-3161
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.
(Florida)
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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