Individual
MALERY SHASHIDHARA
Active
Individual
MALERY SHASHIDHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0041924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2905130
UNITED HEALTH CARE
—
01
—
4259049
AETNA PPO
—
01
—
656482
AETNA HMO
—
01
—
79772
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/23/2005
Last updated
07/13/2026
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