Individual
DR. KISHAN NALLAPULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
13800 TECH CITY CIR STE 320, ALACHUA, FL 32615-7254
(386) 853-4835
(727) 866-4393
Mailing address
15113 NW 149TH RD, ALACHUA, FL 32615-0253
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME125648
FL
2084P0804X
Child & Adolescent Psychiatry Physician
82612
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017858600
—
FL
Enumeration date
08/03/2011
Last updated
12/08/2025
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