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)CodeLicenseStatePrimary
Infectious Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 5, 2018.

{
    "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

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Sources for this page

Verify at the official NPI Registry.