NPIMap

Organization Active NPI

Sudarsan Kamisetty, M.D.,P.a

  • Specialist
  • Brandon, FL
National Provider Identifier
1629099163
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME70832 Issued in FL
Legal business name
SUDARSAN KAMISETTY, M.D.,P.A
Practice address
681 W. Lumsden Rd
Brandon, FL 33511-5911
Phone
(813) 655-7726
Fax
(813) 655-5617
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Sudarsan R Kamisetty, M.D.NPI 1376793331
Title
Physician
Phone
(813) 655-7726

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME70832 FL Primary

Addresses

Primary practice location

681 W. Lumsden Rd
Brandon, FL 33511-5911

Mailing address

681 W. Lumsden Rd
Brandon, FL 33511
Phone (813) 655-7726

National Provider Directory

National Provider Directory

Locations

681 W Lumsden Rd
Brandon, FL 33511
Phone (813) 655-7726

Practitioners & affiliated clinicians

Practitioners 6

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1629099163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 W. LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-655-7726",
            "fax_number": "813-655-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 W. LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115911",
            "telephone_number": "813-655-7726",
            "fax_number": "813-655-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDARSAN KAMISETTY, M.D.,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "KAMISETTY",
        "authorized_official_first_name": "SUDARSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-655-7726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME70832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.