| Dr Kishan Nallapula, MD | |
|
13800 Tech City Cir Ste 320, Alachua, FL 32615-7254 | |
| (386) 853-4835 | |
| (727) 866-4393 |
| Full Name | Dr Kishan Nallapula |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 15 Years |
| Location | 13800 Tech City Cir Ste 320, Alachua, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265710586 | NPI | - | NPPES |
| 017858600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 82612 (Wisconsin) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME125648 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Florida Regional Medical Center | Gainesville, FL | Hospital |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Meridian Behavioral Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134287154 PECOS PAC ID: 7517977812 Enrollment ID: O20060502000237 |
| Entity Name | Chrysalis Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700961646 PECOS PAC ID: 8325186646 Enrollment ID: O20091106000319 |
| Entity Name | Ocala Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548546864 PECOS PAC ID: 0244303014 Enrollment ID: O20120214000434 |
| Entity Name | North Florida Regional Psychiatry, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316359383 PECOS PAC ID: 1254550346 Enrollment ID: O20140923001304 |
| Entity Name | Tbj Behavioral Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568633683 PECOS PAC ID: 4981789823 Enrollment ID: O20141120001176 |
| Entity Name | Florida Center For Psychiatric Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598538712 PECOS PAC ID: 0143672410 Enrollment ID: O20240123001340 |
| Entity Name | Mindtrain Psychiatry And Consulting Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225880677 PECOS PAC ID: 0840734216 Enrollment ID: O20240627000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kishan Nallapula, MD 15113 Nw 149th Rd, Alachua, FL 32615-0253 Ph: () - | Dr Kishan Nallapula, MD 13800 Tech City Cir Ste 320, Alachua, FL 32615-7254 Ph: (386) 853-4835 |