Vasudevan Kidambi, MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0068971

Legal business name

VASUDEVAN KIDAMBI, MD, PA

Practice address

3200 SW 34 Avenue
Suite 302
Ocala, FL 34474

Phone

(352) 732-2900

Fax

(352) 732-4430

NPI assigned

Feb 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Vasudevan Anjore Kidambi, M.D.NPI 1093799298

Title

Doctor

Phone

(352) 732-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Vasudevan Anjore Kidambi, M.D.

  • Family Medicine Physician
  • Ocala, FL
  • NPI 1093799298
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1932406469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3308",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34478",
            "telephone_number": "352-732-2900",
            "fax_number": "352-732-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 34 AVENUE",
            "address_2": "SUITE 302",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34474",
            "telephone_number": "352-732-2900",
            "fax_number": "352-732-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASUDEVAN KIDAMBI, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "KIDAMBI",
        "authorized_official_first_name": "VASUDEVAN",
        "authorized_official_middle_name": "ANJORE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "352-732-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": "ME0068971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379283800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Varma & Pericherla MD PA
• Sheila A Varnadore, RN
• Erin Marie Varney, LMT
• Mandeepsinh Vashi
• Heidie L Vasko, PA-C
• Anju Vasudevan, M. D.
• Ram Vasudevan, M. D.
• George L. Vazoulas, O.D.
• Shabriel Javier Vazquez Ocasio, MBBS, MD, CRC
• Lillian Ines Vazquez, RBT

• Family Medicine Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.