Shilpa Tarugu, M.D.

Individual provider Active NPI Internal Medicine Physician · Indiantown, FL

NPI 1104053248 · NPPES record last updated Nov 19, 2013

Key facts

NPI
1104053248
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
ME112317 (FL)
Practice address
15516 SW Osceola St
Indiantown, FL 34956-2818
Phone
(304) 634-8255
Fax
(863) 824-3472
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME112317 FL Yes

Addresses

Primary practice location

15516 SW Osceola St
Indiantown, FL 34956-2818

Mailing address

2100 Stantonsburg Rd
Graduate Medical Education
Greenville, NC 27834-2818
Phone (252) 744-3229

Other providers in Indiantown, FL

All providers in Indiantown, FL · Internal Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.