DR. SUSHAMA VAZRALA (NPI# 1811993355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811993355 |
| Entity Type | Individual |
| Full Name | DR. SUSHAMA VAZRALA |
| Credential | M.D. |
| Practice Address |
1609 Pasadena Ave S Suite 3a South Pasadena FL 33707-4565 |
| Mailing Address |
10000 Bay Pines Blvd, Building 101 Bay Pines FL 33744-8200 |
| Practice Telephone | 7273455700 |
| Practice Fax Number | 7273455755 |
| Mailing Telephone | 7273986661 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2016-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME88785 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 268492600 | 05 |
| Street Address |
1609 PASADENA AVE S SUITE 3A |
| City | SOUTH PASADENA |
| State | FL |
| Zip Code | 33707-4565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225372865 | Anne S Carter Phd LLC | Audiologist | 1609 Pasadena Ave S, 2j, South Pasadena, FL 33707-4565 | 2012-11-20 |
| 1164771929 | Anne Strouse Carter | Audiologist-Hearing Aid Fitter | 1609 Pasadena Ave S, Suite 2j, South Pasadena, FL 33707-4565 | 2012-09-07 |
| 1861765208 | Cheryl Marie Phillips | Nurse Practitioner | 1609 Pasadena Ave S, South Pasadena, FL 33707-4565 | 2012-02-15 |
| 1841569142 | Cheryl Kordek Stanley | Nurse Practitioner | 1609 Pasadena Ave S, Suite 3m, South Pasadena, FL 33707-4565 | 2011-12-16 |
| 1023391208 | Simran Khurana | Internal Medicine | 1609 Pasadena Ave S, Suite 2n, South Pasadena, FL 33707-4565 | 2011-09-23 |
| 1871817395 | Florida Surgical Spine LLC | Anesthesiology | 1609 Pasadena Ave S, Suite 3-h, South Pasadena, FL 33707-4565 | 2010-03-26 |
| 1376867390 | Arnold Ison Md Chartered | Dermatology | 1609 Pasadena Ave S, 2k, South Pasadena, FL 33707-4565 | 2010-03-19 |
| 1316198435 | Florida Cancer Specialists P L | Internal Medicine | 1609 Pasadena Ave S, Ste. 2e, South Pasadena, FL 33707-4565 | 2008-10-07 |
| 1306027198 | Bay Area Pulmonary Pa | Specialist | 1609 Pasadena Ave S, Suite 2j, South Pasadena, FL 33707-4565 | 2007-11-20 |
| 1780871491 | Proctor Dermatology & Skin Surgery Pa | Dermatology | 1609 Pasadena Ave S, Suite 4 0, South Pasadena, FL 33707-4565 | 2007-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720362 | Gts Medical | Family Medicine | 6800 Gulfport Blvd S Ste 101, South Pasadena, FL 33707-2193 | 2020-08-11 |
| 1205284288 | Abhishek Gulati | Family Medicine | 1609 Pasadena Ave S Ste 2e, South Pasadena, FL 33707-4560 | 2016-05-31 |
| 1194958256 | Reena R Patel | Family Medicine | 1730 Huntington Dr Ste 203, South Pasadena, CA 91030-4860 | 2009-08-24 |
| 1144468240 | John Shieh | Family Medicine | 1024 Mission St Ste A, South Pasadena, CA 91030-3156 | 2009-01-27 |
| 1073633665 | Robert P. Fedor, D.o.p.a | Family Medicine | 1811 Shore Dr S, South Pasadena, FL 33707-4701 | 2007-03-29 |
| 1316998248 | Nathan Hashimoto | Family Medicine | 1107 Fair Oaks Ave # 476, South Pasadena, CA 91030-3311 | 2006-05-15 |
| 1104897321 | Sherri Dunkelberger | Family Medicine | 6801 Gulfport Blvd S, Suite 6, South Pasadena, FL 33707-2127 | 2006-01-27 |
| 1871599241 | Gary Seto | Family Medicine | 1800 Fair Oaks Ave, Ste A, South Pasadena, CA 91030-4775 | 2005-06-21 |
| 1063824183 | Reena R Patel Md Inc | Family Medicine | 1108 Fremont Ave, South Pasadena, CA 91030-3227 | 2014-05-22 |
| 1174889752 | Ehren Carine | Family Medicine | 1811 Shore Dr S, South Pasadena, FL 33707 | 2012-04-08 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 33707 |
Please comment or provide details below to improve the information on DR. SUSHAMA VAZRALA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.