Provider Demographics
NPI:1366435927
Name:AKULA, GEETHANJALI K (MD)
Entity type:Individual
Prefix:DR
First Name:GEETHANJALI
Middle Name:K
Last Name:AKULA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 102222
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-2222
Mailing Address - Country:US
Mailing Address - Phone:239-274-8200
Mailing Address - Fax:239-278-3350
Practice Address - Street 1:70 W GORE ST STE 100
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1124
Practice Address - Country:US
Practice Address - Phone:407-426-8484
Practice Address - Fax:407-447-5229
Is Sole Proprietor?:No
Enumeration Date:2005-08-29
Last Update Date:2022-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME60734207RH0000X, 207RH0002X, 207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL057090700Medicaid
FL057090700Medicaid
FL14429XMedicare PIN
E44754Medicare UPIN