Dr. Mallikarjuna Nandyala M.D.
Internal Medicine Physician in Tampa, FL(View on Map)
Full Name
Dr. Mallikarjuna Nandyala M.D.
NPI Number
1023081676
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/13/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME70271
Contact
Information
Purpose
Mailing
Location
Address
14749 WATERCHASE BLVD
13642 W HILLSBOROUGH AVE
City
Tampa
Tampa
State
FL
FL
Postal Code
33626-3318
33635-9638
Country
US
US
Telephone Number
(813) 884-0222
(813) 884-0222
Identifiers
Identifier
2509053
110244550
113934
250560600
243309
31236
ME0070271
2513301
139275BJ
Unknown
Identifier State
FL
FL
FL
FL
FL
FL
FL
FL
FL
Unknown
Identifier Issuer
AETNA
RAILROAD MEDICARE
AMERIGROUP
Unknown
AVMED
BLUE CROSS BLUE SHIELD
MEDICAL STATE LICENSE
GHI
PREFERRED CARE
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/17/2013