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

Ami Shiddapur, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215630496

Ami Shiddapur, MD is a Student in an Organized Health Care Education/Training Program in Lutz, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21808 State Road 54
Lutz, FL 33549-6923
Phone: (813) 922-8621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1215630496
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2023
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023
Mailing address2995 Drew St, Clearwater, FL 33759-3012

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