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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KSHAMA BHYRAVABHOTLA, MD

Active

KSHAMA BHYRAVABHOTLA, MD is a Sports Medicine (IM) healthcare provider located in JACKSONVILLE, Florida. NPI 1932604758 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (IM) · JACKSONVILLE, FL

Registration Details

NPI Number
1932604758
Provider Type
Individual
Gender
Female
NPI Issued
Mar 25, 2018 (8.3763817752157 yrs)
Last Updated
Jul 18, 2025
License
ME174857 (FL)

Practice Information

Address
4500 SAN PABLO RD S
JACKSONVILLE, FL, 322241865
Browse FL providers · Browse ZIP 32224
Phone
9049532000
Primary Specialty
Sports Medicine (IM)
207RS0012X

Other Sports Medicine (IM) Providers in JACKSONVILLE, FL

Name Credential NPI
MUHAMMAD ALI SYED MD 1235304940
DR. BRENDON COLACO MBBS 1699901173
LOAN LE DO 1720585664
GONZALO PATRICIO LABARCA TRUCIOS MD 1285340026
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.