Most Relevant Information
Provider Data
| NPI Number: | 1003432816 |
| Provider Name: | KEERTHANA REDDY BANALA |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | ME162448 |
Most Important Dates
| Enumeration Date: | 06/18/2020 |
| Last Updated: | 06/27/2023 |
Provider Practice Location
1611 NW 12TH AVE # 6006
MIAMI
FL
331361005
Practice Location Phone/Fax
| Phone: | 3055856017 |
| Fax: | 3053250293 |
Provider Mailing Location
1611 NW 12TH AVE # 6006
MIAMI
FL
331361005
Provider Mailing Phone/Fax
| Phone: | 3055856017 |
| Fax: | 3053250293 |
Suggested EMR
Pediatrics EMR