Individual
DR. PARWATI C MADDALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
845 EXECUTIVE LN, 100, ROCKLEDGE, FL 32955-3528
(321) 631-4222
(321) 631-4302
Mailing address
PO BOX 561527, ROCKLEDGE, FL 32956-1527
(321) 631-4222
(321) 631-4302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME66568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25999
BCBS
FL
Enumeration date
05/24/2005
Last updated
01/24/2026
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