Individual provider · Type 1 NPI

Rekha Nidadavolu, PHYSICIAN ASSISTANT

Physician Assistant · St. Cloud, FL

NPI number 1902138217 Active

Practice location

4745 Old Canoe Creek Rd
St. Cloud, FL 34769-1400

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XPS44664 (FL)
Pharmacist 183500000X24667 (MA)
Physician Assistant Primary 363A00000XPA9111839 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1902138217

Rekha Nidadavolu, PHYSICIAN ASSISTANT's National Provider Identifier is 1902138217, issued on Feb 11, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Cloud, FL. The record was last updated on Jan 30, 2020.