Whalio Doctors

NPI 1023264447

Desaraju & Kompella, P.A.

Organisation Family Medicine Physician Crystal River, FL

Practice location

Address
6201 N Suncoast Blvd, Crystal River, FL 34428-6712
Phone
(352) 601-2375
Fax
(813) 200-3667
Mailing address
PO Box 1355, Hernando, FL 34442-1355

Authorised official

Name
Chakradhar Desaraju
Title
President
Phone
(352) 601-2375

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Registry record

NPI
1023264447
Entity type
Organization
NPI issued
18 Aug 2008
Record last updated
18 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.