Advanced Medical Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME125820 Issued in FL

Legal business name

ADVANCED MEDICAL ASSOCIATES, LLC

Practice address

819 N Pine Hills Rd
Orlando, FL 32808-7234

Phone

(407) 274-4975

NPI assigned

Nov 9, 2015

Last updated

Jun 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Srujani Gaddam, M.D.

Title

Owner

Phone

(407) 274-4975

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496275200000",
    "number": "1053784389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N PINE HILLS RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087234",
            "telephone_number": "407-274-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N PINE HILLS RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087234",
            "telephone_number": "407-274-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2017-06-01",
        "status": "A",
        "authorized_official_last_name": "GADDAM",
        "authorized_official_first_name": "SRUJANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-274-4975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME125820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.