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Dr. Mallik A Piduru, MD
Vascular Surgery Physician in Brooksville, Florida
NPI 1265405997

Mallik A Piduru is a Vascular Surgery Physician based in Brooksville, FL and is specialized in Vascular Surgery. Mallik A Piduru practices in Brooksville, FL and has the professional credentials of MD. The NPI Number for Mallik A Piduru is 1265405997 and holds a License No. ME0044053 (Florida).

The current practice location address for Mallik A Piduru is 11373 Cortez Blvd, Brooksville, FL and can be reached out via phone at 352-596-7860 and via fax at 352-597-3657. You can also correspond with Mallik A Piduru through the mailing address at 15215 CORTEZ BLVD, BROOKSVILLE, FL - 34613-6072 (mailing address contact number: 352-799-0046).

Location: 11373 Cortez Blvd, Brooksville, FL, 34613-6072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265405997
Provider Name
Mallik A Piduru
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11373 Cortez Blvd, Brooksville, FL, 34613-6072
Phone Number
352-596-7860
Fax Number
352-597-3657
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00984624 01 FL RR MCR
036160700 05 FL
26064 01 FL BCBS
P00867800 01 FL RR MCR ATTACHED TO GRP# CH7269
165252 01 FL WELLCARE
institution
Provider Business Practice Location Address Details
Address
11373 Cortez Blvd
City
Brooksville
State
Florida
Zip
34613-5414
Phone Number
352-596-7860
Fax Number
352-597-3657
person
Provider Business Mailing Address Details
Address
15215 Cortez Blvd
City
Brooksville
State
Florida
Zip
34613-6072
Phone Number
352-799-0046
Fax Number
727-861-1881
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
ME0044053 (Florida)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
ME0044053 (Florida)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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