Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MALLIKARJUNA NANDYALA MD PA
Active
Organization
MALLIKARJUNA NANDYALA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALLIKARJUNA NANDYALA M.D. (OWNER)
(813) 884-0222
Entity
Organization
Contact information
Practice address
8313 W HILLSBOROUGH AVE STE 300, TAMPA, FL 33615-3819
(813) 884-0222
(813) 884-0080
Mailing address
14749 WATERCHASE BLVD, TAMPA, FL 33626-3318
(813) 884-0222
(813) 884-0080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0070271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110244550
RAILROAD MEDICARE
FL
05
—
250560600
—
FL
01
—
ME0070271
MEDICAL STATE LICENSE
FL
Enumeration date
10/07/2009
Last updated
01/30/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up