GAUTAM KANAKAMEDALA

GAINESVILLE, FL
NPI1912600438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-23
Last Update Date2023-03-23
Business Address
GAUTAM KANAKAMEDALA DO
6500 W NEWBERRY RD
GAINESVILLE, FL 32605-4309
Phone number: 352-333-5982
Mailing Address
GAUTAM KANAKAMEDALA DO
1147 NW 64TH TER
GAINESVILLE, FL 32605-4218
Phone number: 352-333-5982