Mallik A. Piduru, M.D.

Surgery Physician · Brooksville, FL

Individual Active NPI

NPI number 1265405997

Practice location

11373 Cortez Blvd
Suite 201
Brooksville, FL 34613-5414
Phone
(352) 596-7860
Fax
(352) 597-3657

Open in Google Maps

NPI record

NPI
1265405997
Entity type
Individual (Type 1)
Enumeration date
February 13, 2006
Last updated
January 24, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X ME0044053 FL
Vascular Surgery Physician 2086S0129X ME0044053 FL

Mailing address

15215 Cortez Blvd
Brooksville, FL 34613-6072
Phone
(352) 799-0046
Fax
(727) 861-1881

About Dr. Piduru

Mallik A. Piduru, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 11373 Cortez Blvd, Suite 201, Brooksville, FL 34613-5414. The NPI number 1265405997 was assigned on February 13, 2006 and the record was last updated on January 24, 2012.

Dr. Piduru lists 2 licenses in the registry: #ME0044053 (FL) for Surgery Physician; #ME0044053 (FL) for Vascular Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mallik A. Piduru, M.D.?

The NPI number is 1265405997.

What is the phone number of Dr. Piduru?

The phone number listed for the practice location is (352) 596-7860.

Where is Dr. Piduru located?

11373 Cortez Blvd, Suite 201, Brooksville, FL 34613-5414.

What is the taxonomy code for Dr. Piduru?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Surgery Physician providers in Brooksville

All Surgery Physician providers in Brooksville, FL →