Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kanumuri Medical Group PA

Organization Anesthesiology Physician · NPI 1093761504

Kanumuri Medical Group PA is an Anesthesiology Physician in Lake Wales, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

410 S 11th St
Lake Wales, FL 33853-4203
Phone: (863) 402-0064
Fax: (866) 746-1525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X (FL)

Record details

NPI number1093761504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nageswararo Kanumuri — President/Physician · (863) 402-0064
NPI enumeratedMay 26, 2006
Last updated in NPPESOctober 18, 2007
Mailing addressPo Box 2327, Lake Wales, FL 33859-2327

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