Suresh Mamidala, MD
Internal Medicine in Southbridge, Massachusetts
1437394350- Practice location
- 100 South St., Southbridge, MA 01550
- Phone
- 508-764-9771
- Fax
- —
- Last updated
- March 4, 2026
Suresh Mamidala is an Internal Medicine based in Southbridge, MA. Suresh Mamidala practices in Southbridge, MA and has the professional credentials of MD. The NPI Number for Suresh Mamidala is 1437394350 and holds a License No. 241829 (MA). The current practice location address for Suresh Mamidala is 100 South St., Southbridge, MA 01550 and can be reached out via phone at 508-764-9771.
Provider Profile Details
- NPI Number
- 1437394350
- Provider Name
- Suresh Mamidala
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 South St., Southbridge, MA 01550
- Phone Number
- 508-764-9771
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 5, 2008
- Last Update Date
- March 4, 2026
- Certification Date
- March 4, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 South St.
Southbridge, MA 01550 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550
- Phone Number
- 508-764-9771
Provider Business Mailing Address Details
- Address
- 123 Summer Street
Worcester, MA 01608 - City
- Worcester
- State
- MA
- Zip
- 01608
- Phone Number
- 508-363-5000
License Information
- License Number
- 241829
- License State
- MA
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Suresh Mamidala, MD?
The NPI number of Suresh Mamidala, MD is 1437394350. It was assigned on December 5, 2008 and is currently active in the NPPES registry.
What is the specialty of Suresh Mamidala, MD?
Suresh Mamidala, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 241829.
Where does Suresh Mamidala, MD practice?
The practice location is 100 South St., Southbridge, MA 01550. The office can be reached at 508-764-9771 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437394350 directly on the NPPES registry website.