DR. Mallik A Piduru, M.D.

NPI #1265405997 in Brooksville, Florida

Provider Information

NPI Number: 1265405997
Entity Type: Individual
Name: DR. Mallik A Piduru, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Feb 13, 2006
Last Updated: Jan 24, 2012

Practice Location

Address: 11373 CORTEZ BLVD
Address 2: SUITE 201
City: Brooksville
State: Florida
ZIP Code: 34613-5414
Phone: (352) 596-7860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X

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