Individual provider · Type 1 NPI

Supradeep Shree Venkata Madduri

Urology Physician · Jacksonville, FL

NPI number 1467040501 Active · reactivated Mar 31, 2026

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Call (904) 953-2000 Map

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XTRN46196 (FL)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

2,802 other providers at this address

Other urology physician providers in Jacksonville

See all in Jacksonville →

About NPI 1467040501

Supradeep Shree Venkata Madduri's National Provider Identifier is 1467040501, issued on Jan 5, 2021. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 18, 2026.