Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. REKHA NIDADAVOLU, PHYSICIAN ASSISTANT
Active Sole ProprietorMS. REKHA NIDADAVOLU, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in SAINT CLOUD, Florida. NPI 1902138217 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAINT CLOUD, FL
Registration Details
- NPI Number
- 1902138217
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 11, 2010 (16.484053555979 yrs)
- Last Updated
- Jan 30, 2020
- Licenses
-
PS44664 (FL)24667 (MA)PA9111839 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4745 OLD CANOE CREEK RDSAINT CLOUD, FL, 347691400Browse FL providers · Browse ZIP 34769
- Phone
- 3059059316
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Pharmacist
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SAINT CLOUD, FL
| Name | Credential | NPI |
|---|---|---|
| DR. JOSE ENRIQUE MOLINA SR. | P.A. | 1407074099 |
| VICTOR D QUINONES | PA-C | 1457507188 |
| MRS. LIZBETH MARTIN | PA-C | 1942586771 |
| MS. RITA FASSETT | PA-C | 1528400819 |
| BRITTNI GREEN | PA-C | 1417540089 |
| MATTHEW VAUGHN | PA-C | 1679309959 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.