CITRUS MEDICAL CLINIC – NPI #1649781352
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

CITRUS MEDICAL CLINIC is a provider located in HERNANDO, FL. NPPES has assigned the NPI number 1649781352 to CITRUS MEDICAL CLINIC on October 20, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CITRUS MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is DESARAJU AND KOMPELLA MDS PA. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Jul 09, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CITRUS MEDICAL CLINIC below.

NPI Profile for
DESARAJU AND KOMPELLA MDS PA

NPI Number
1649781352
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DESARAJU AND KOMPELLA MDS PA
Doing Business As (dba): CITRUS MEDICAL CLINIC
Primary location
2484 N ESSEX AVE
HERNANDO, FL 34442-5321
Phone: (352) 746-1358 Fax:
Mailing address
3600 N GRAYHAWK LOOP
LECANTO, FL 34461
Phone: (352) 746-1358 Fax:
Organization Subpart
No
Authorized Official
CHAKRADHAR DESARAJU
OWNER
Phone: (352) 795-6560
Updated
Certification Date
Jul 09, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 FL ME93164

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.