| Doctor Name: | DR. SANTHARAM V NALLAMSHETTY |
| NPI Number: | 1578564811 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME 82800 |
| Business Practice Address: | 1389 S Us 301 Sumterville, FL - 335855143 |
| Business Phone Number: | 3527935900 |
| Business Fax Number: | 3527939558 |
| Mailing Address: | 1425 S Us 301, SUMTERVILLE |
| State: | FL |
| Postal Code: | 335855141 |
| Phone Number: | 3527935900 |
| Fax Number: | 3527938050 |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 08/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | ME 82800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |