Tele-Id Inc
Organization Active NPI Infectious Disease Physician · Fort Myers, FL
NPI 1003302845 · NPPES record last updated Jul 5, 2018
Key facts
- NPI
- 1003302845
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- ME100391 (FL)
- Legal business name
- TELE-ID INC
- Practice address
- 14192 Metropolis Ave
Fort Myers, FL 33912-4331 - Phone
- (239) 245-8223
- Fax
- (239) 244-9481
- NPI assigned
- Jul 5, 2018
- Organization subpart
- No
Authorized official
- Name
- Sivakumar Raman, MD
- Title
- Owner
- Phone
- (239) 245-8223
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician |
207RI0200X | ME100391 | FL | Yes |
Addresses
Primary practice location
14192 Metropolis Ave
Fort Myers, FL 33912-4331
Mailing address
14192 Metropolis Ave
Fort Myers, FL 33912-4331
Phone (239) 245-8223
NPI Registry JSON
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530748800000",
"number": "1003302845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14192 METROPOLIS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124331",
"telephone_number": "239-245-8223",
"fax_number": "239-244-9481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14192 METROPOLIS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124331",
"telephone_number": "239-245-8223",
"fax_number": "239-244-9481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELE-ID INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-05",
"status": "A",
"authorized_official_last_name": "RAMAN",
"authorized_official_first_name": "SIVAKUMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-245-8223",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME100391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Juan S Tejada-Almonte
- Carolina Tejera
- Tinerfe J Tejera
- Piotr Tomasz Tekiela
- Belin Tekin
- Telehealth Visits
- Telespecialists North Carolina Neurology Services PLLC
- Andison Telisnor
- Ryan Telson
- Danoushka Loris Tememe
All providers in Fort Myers, FL · Infectious Disease Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.