Provider Demographics
NPI:1992721237
Name:PERICHERLA, SAROJINI (MD)
Entity type:Individual
Prefix:
First Name:SAROJINI
Middle Name:
Last Name:PERICHERLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 SE 3RD CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471
Mailing Address - Country:US
Mailing Address - Phone:352-368-2606
Mailing Address - Fax:352-368-1620
Practice Address - Street 1:2825 SE 3RD CT
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471
Practice Address - Country:US
Practice Address - Phone:352-368-2606
Practice Address - Fax:352-368-1620
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME46541207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL044668800Medicaid
B77665Medicare UPIN
FL044668800Medicaid