| Dr Mallik A Piduru, MD | |
|
11373 Cortez Blvd, Suite 201, Brooksville, FL 34613-5414 | |
| (352) 596-7860 | |
| (352) 597-3657 |
| Full Name | Dr Mallik A Piduru |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 11373 Cortez Blvd, Brooksville, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265405997 | NPI | - | NPPES |
| P00984624 | Other | FL | RR MCR |
| 036160700 | Medicaid | FL | |
| 26064 | Other | FL | BCBS |
| P00867800 | Other | FL | RR MCR ATTACHED TO GRP# CH7269 |
| 165252 | Other | FL | WELLCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME0044053 (Florida) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | ME0044053 (Florida) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mallik A Piduru, MD 15215 Cortez Blvd, Brooksville, FL 34613-6072 Ph: (352) 799-0046 | Dr Mallik A Piduru, MD 11373 Cortez Blvd, Suite 201, Brooksville, FL 34613-5414 Ph: (352) 596-7860 |
Lyle G Breeding, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11373 Cortez Blvd, Suite 202, Brooksville, FL 34613 Phone: 352-597-3444 Fax: 352-597-0117 | |
Dr. Frederick D Cason Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11373 Cortez Blvd Ste 208, Brooksville, FL 34613 Phone: 352-597-0224 Fax: 352-597-0252 | |
David A Terschluse, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11373 Cortez Blvd Ste 301, Brooksville, FL 34613 Phone: 352-596-0744 Fax: 352-596-5401 | |
Xavier M. Jenkins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11315 Cortez Blvd, Brooksville, FL 34613 Phone: 352-592-0220 Fax: 352-597-4272 | |
Chiduziem Onyedimma, Surgery Medicare: Medicare Enrolled Practice Location: 11375 Cortez Blvd Fl 1, Brooksville, FL 34613 Phone: 352-597-3072 | |
Dr. Fawzi Soliman, MD,PA Surgery Medicare: Medicare Enrolled Practice Location: 11373 Cortez Blvd Ste 301, Brooksville, FL 34613 Phone: 352-596-0744 Fax: 352-596-5401 |