Individual ProviderNeelima GaddipatiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1611 NW 12th Ave # C-600d, Miami, FL 33136-1005(305) 585-5215PECOS EnrollmentBased on the most recent information from CMS, provider Neelima Gaddipati does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1063099463Provider TypeIndividualFull NameGaddipati, NeelimaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/24/2021Last Updated11/20/2024Contact InformationPractice LocationPractice Address1611 NW 12th Ave # C-600d, Miami, FL 33136-1005Phone(305) 585-5215FaxUnlisted FaxMailing LocationMailing Address1201 NW 16h Street, Miami, FL 33125PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME168105FloridaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer