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Sudha Bogineni-misra, MD
Diagnostic Radiology Physician in Jacksonville, Florida
NPI 1922068956

Sudha Bogineni-misra is a Diagnostic Radiology Physician based in Jacksonville, FL and is specialized in Diagnostic Radiology. Sudha Bogineni-misra practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Sudha Bogineni-misra is 1922068956 and holds a License No. ME73331 (Florida).

The current practice location address for Sudha Bogineni-misra is 3599 University Blvd S, Jacksonville, FL and can be reached out via phone at 904-399-5550 and via fax at 904-346-4334.

Location: 3599 University Blvd S, Jacksonville, FL, 32216-4252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922068956
Provider Name
Sudha Bogineni-misra
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3599 University Blvd S, Jacksonville, FL, 32216-4252
Phone Number
904-399-5550
Fax Number
904-346-4334
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00775123A 05 GA
252390600 05 FL
41860 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
3599 University Blvd S
City
Jacksonville
State
Florida
Zip
32216-4252
Phone Number
904-399-5550
Fax Number
904-346-4334
person
Provider Business Mailing Address Details
Address
3599 University Blvd S
City
Jacksonville
State
Florida
Zip
32216-4252
Phone Number
904-399-5550
Fax Number
904-346-4334
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME73331 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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