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

Individual provider Internal Medicine Physician · NPI 1154313476

Srinath Reddy Kosanam, MD is an Internal Medicine in Davenport, Florida. Qualified in 1990, 36 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
36
Licensed in
FL
In the registry since
2005
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

106 Polo Park East Blvd
Davenport, FL 33897-9407
Phone: (863) 424-8900
Fax: (863) 424-8823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME78339 (FL)

Record details

NPI number1154313476
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 22, 2005
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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