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Manjula S Mangipudy, MD
Adolescent Medicine (Family Medicine) Physician in St Petersburg, Florida
NPI 1053408492

Manjula S Mangipudy is an Adolescent Medicine (Family Medicine) Physician based in Tampa, FL and is specialized in Adolescent Medicine. Manjula S Mangipudy practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Manjula S Mangipudy is 1053408492 and holds a License No. ME038891 (Florida).

The current practice location address for Manjula S Mangipudy is 205 Dr Martin Luther King Jr St N, St Petersburg, FL and can be reached out via phone at 727-820-4231 and via fax at 727-820-4231.

Location: 205 Dr Martin Luther King Jr St N, St Petersburg, FL, 33602-5712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053408492
Provider Name
Manjula S Mangipudy
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
205 Dr Martin Luther King Jr St N, St Petersburg, FL, 33602-5712
Phone Number
727-820-4231
Fax Number
727-820-4231
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
058380400 05 FL
institution
Provider Business Practice Location Address Details
Address
205 Dr Martin Luther King Jr St N
City
St Petersburg
State
Florida
Zip
33701-3109
Phone Number
727-820-4231
Fax Number
727-820-4231
person
Provider Business Mailing Address Details
Address
205 Dr Martin Luther King Jr St N
City
St Petersburg
State
Florida
Zip
33701-3109
Phone Number
727-820-4231
Fax Number
727-820-4231
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
ME038891 (Florida)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
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