| Mala Sengupta, MD | |
| 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | |
| (941) 627-6128 | |
| (941) 764-7071 | 
| Full Name | Mala Sengupta | 
|---|---|
| Gender | Female | 
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology | 
| Location | 21298 Olean Blvd, Port Charlotte, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366489361 | NPI | - | NPPES | 
| Entity Name | Vitalmd Group Holding Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mala Sengupta, MD P.o. Box 741087, Atlanta, Ga -, GA 30384-1087 Ph: (941) 627-6128 | Mala Sengupta, MD 21298 Olean Blvd, Port Charlotte, FL 33952-6705 Ph: (941) 627-6128 | 
| Dr. Fernando Luis Lomba, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4120 Fax: 941-505-1466 | |
| Barbara Shideler, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-627-6128 Fax: 941-764-7071 | |
| Dr. Jose Augusto Ross, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 18338 Murdock Cir, Port Charlotte, FL 33948 Phone: 941-313-9009 Fax: 941-623-9532 | |
| Dr. David Molina Rios, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4120 Fax: 941-766-4123 | |
| Dr. Andres E Angel, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4120 Fax: 941-505-1466 | |
| Lorena E Posligua, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-627-6128 Fax: 941-764-7071 |