DR. MALLIKARJUNA NANDYALA


Address: 13642 W Hillsborough Ave, Tampa, FL 33635-9638
Phone: 8138840222

DR. MALLIKARJUNA NANDYALA (NPI# 1023081676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023081676
Entity Type Individual
Full Name DR. MALLIKARJUNA NANDYALA
Credential M.D.
Practice Address 13642 W Hillsborough Ave
Tampa
FL 33635-9638
Mailing Address 14749 Waterchase Blvd
Tampa
FL 33626-3318
Practice Telephone 8138840222
Practice Fax Number 8138840080
Mailing Telephone 8138840222
Mailing Fax Number 8138840080
Enumeration Date 2006-02-13
Last Update Date 2013-10-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine ME70271 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL PREFERRED CARE 139275BJ 01
FL AETNA 2509053 01
FL STAYWELL 169930 01
FL 250560600 05
FL RAILROAD MEDICARE 110244550 01
FL AMERIGROUP 113934 01
FL AVMED 243309 01
FL MEDICAL STATE LICENSE ME0070271 01
FL GHI 2513301 01
FL BLUE CROSS BLUE SHIELD 31236 01

Office Location

Street Address 13642 W HILLSBOROUGH AVE
City TAMPA
State FL
Zip Code 33635-9638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023003258 Troy Michael Sterk Family Medicine 13642 W Hillsborough Ave, Tampa, FL 33635-9638 2005-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962927723 Mobile Medical Care Nurse Practitioner 11671 Declaration Drive, Tampa, FL 33635 2017-08-13
1528428638 Tracy Lee Behavioral Analyst 6951 Pistol Ridge Road, Tampa, FL 33635 2016-03-02
1912301409 Stacey-ann Samuels Taylor Contractor 6608 Camden Bay Drive, # 303, Tampa, TAMPA 33635 2014-10-13
1356753438 Fountain of Youth Alf Inc Assisted Living Facility 9001 Bana Villa Ct, Tampa, FL 33635 2014-05-23
1518212646 The Good Shepherd Sleep Center Clinic/Center 13668 W Hillsborough Ave, Tampa, FL 33635 2012-07-15
1033487343 Crystal A Reinhart Physical Therapist 8417 Poydras Lane, Tampa, FL 33635 2011-12-01
1093002768 Anthony Roosevelt Washington IIi Family Medicine 13608 W Hillsborough Ave, Tampa, FL 33635 2011-07-01
1710187778 Jerome Abutal Abellana Physical Therapist 8504 Tidal Bay Ln, Tampa, FL 33635 2007-07-18
1902298433 Cindy Ceja Behavioral Analyst 6951 Pistol Range Rd, Tampa, FL 33635 2015-02-20
1265842249 Christine Ann Roeper Technician, Other 6951 Pistol Range Rd, Tampa, FL 33635 2014-04-30
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912519224 Health & Glow Primary Care & Med Spa LLC Internal Medicine 4331 S Manhattan Ave, Tampa, FL 33611 2020-08-18
1326665779 Complete Integrative Medical Clinic, LLC. Internal Medicine 2835 W De Leon St Ste 102, Tampa, FL 33609-4130 2020-07-01
1649807553 Physician Partners Associated, LLC Internal Medicine 4704 N Armenia Ave, Tampa, FL 33603-2619 2020-03-23
1417583956 William F Mcgrogan Md Pllc Internal Medicine 2919 W Swann Ave Ste 402, Tampa, FL 33609-4083 2020-03-17
1679120471 Printha Md Internal Medicine Inc Internal Medicine 5420 Webb Rd Ste B1, Tampa, FL 33615-3255 2019-08-26
1184185001 A Plus Medcare LLC Internal Medicine 7211 N Dale Mabry Hwy Ste 100, Tampa, FL 33614-2669 2019-03-26
1770040685 Skalan LLC Internal Medicine 14917 Smitter Reserve Dr, Tampa, FL 33618-2205 2019-02-27
1720545981 Amante Medical and Diabetic Center, P.a. Internal Medicine 1001 N Macdill Ave. Suite B, Tampa, FL 33607 2019-02-25
1568926038 Karadayi Health Inc Internal Medicine 2916 W Bayshore Ct, Tampa, FL 33611-2808 2019-01-29
1881178242 Angel Medical Clinic, LLC Internal Medicine 8001 N Dale Mabry Hwy Ste 701, Tampa, FL 33614-3218 2018-09-21
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Competitor

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City TAMPA
Zip Code 33635

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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