NPI 1023264447
Desaraju & Kompella, P.A.
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
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.