NPIMap

Organization Active NPI

V. Rao Emandi MD PA

  • Specialist
  • Hudson, FL
National Provider Identifier
1013103084
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
V. RAO EMANDI MD PA
Practice address
13904 Lakeshore Blvd
Ste 410
Hudson, FL 34667-1481
Phone
(727) 862-5489
Fax
(727) 862-0397
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Venkata Rao Emandi, M.D.NPI 1083606453
Title
Medical Director
Phone
(727) 862-5489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X
Therapeutic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0203X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X

Addresses

Primary practice location

13904 Lakeshore Blvd
Ste 410
Hudson, FL 34667-1481

Mailing address

13904 Lakeshore Blvd
Ste 410
Hudson, FL 34667-1481
Phone (727) 862-5489

Other identifiers 1

IdentifierTypeStateIssuer
378675700MedicaidFL

Other names 1

  • CANCER CARE CENTERS OF FLORIDA Doing business as

National Provider Directory

National Provider Directory

Locations

14535 Cortez Blvd
Brooksville, FL 34613
Phone (352) 596-1401

13904 Lakeshore Blvd
Ste 410
Hudson, FL 34667
Phone (352) 597-4998

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1013103084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13904 LAKESHORE BLVD",
            "address_2": "STE 410",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671481",
            "telephone_number": "727-862-5489",
            "fax_number": "727-862-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13904 LAKESHORE BLVD",
            "address_2": "STE 410",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671481",
            "telephone_number": "727-862-5489",
            "fax_number": "727-862-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V. RAO EMANDI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "EMANDI",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-862-5489",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Therapeutic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378675700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANCER CARE CENTERS OF FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.