Individual
DR. VENKAT PRAJWAL NAIDU MALLARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 294-8278
(352) 265-0379
Mailing address
PO BOX 100238, GAINESVILLE, FL 32610-0238
(352) 294-8278
(352) 265-0379
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME162261
FL
208M00000X
Hospitalist Physician
Primary
ME162261
FL
Other
Enumeration date
04/19/2019
Last updated
05/04/2023
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