Mallikarjuna Nandyala (NPI# 1023081676, PAC ID# 5698661247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1023081676 |
| PAC ID by PECOS | 5698661247 |
| Professional Enrollment ID | I20040223000496 |
| Full Name | Mallikarjuna Nandyala |
| Address |
13642 W Hillsborough Ave Tampa FL 33635-9638 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100075 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13642 W Hillsborough Ave, Tampa, FL 33635-9638 |
| Street Address |
13642 W HILLSBOROUGH AVE |
| City | TAMPA |
| State | FL |
| Zip | 33635-9638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey Rose Cronk | Nurse Practitioner | 11671 Declaration Dr, Tampa, FL 33635-6338 | |
| Joida Francis | Clinical Social Worker | 6601 Marina Pointe Village Ct, Apt 203, Tampa, FL 33635-9036 | |
| John B Mchenry | Chiropractic | 13301 W Hillsborough Ave, Suite 201, Tampa, FL 33635-9622 | |
| Nauman Salim | Internal Medicine | Sunshine Medicine Associates Inc | 13692 W Hillsborough Ave, Tampa, FL 33635-9638 |
| Garrett S Bode | Chiropractic | 13694 W Hillsborough Ave, Tampa, FL 33635-9638 | |
| Kiki Hoang Tran-bergman | Podiatry | 13632 W Hillsborough Ave, Tampa, FL 33635-9638 | |
| Saleem I Saiyad | Internal Medicine | 13618 W Hillsborough Ave, Tampa, FL 33635-9638 | |
| Samia Malik | Neurology | Sunshine Medicine Associates Inc | 13692 W Hillsborough Ave, Tampa, FL 33635-9638 |
| Jason Waz | Physical Therapy | Competitive Edge Performance Inc | 13335 W Hillsborough Ave, Tampa, FL 33635-9676 |
| Stephanie Lynn Brooke | Physical Therapy | Competitive Edge Performance Inc | 13335 W Hillsborough Ave, Tampa, FL 33635-9676 |
| Find all physicians in zip 33635 | |||
| City | TAMPA |
| Zip Code | 33635 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TAMPA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mallikarjuna Nandyala.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.