Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MALLIK A PIDURU, M.D.
ActiveGeneral Surgery · BROOKSVILLE, FL
Registration Details
- NPI Number
- 1265405997
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2006 (20.185074730889 yrs)
- Last Updated
- Jan 24, 2012
- Licenses
-
ME0044053 (FL)ME0044053 (FL)
Practice Information
- Address
-
11373 CORTEZ BLVDSUITE 201BROOKSVILLE, FL, 346135414Browse FL providers · Browse ZIP 34613
- Phone
- 3525967860
- Fax
- 3525973657
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- Vascular Surgery
Other General Surgery Providers in BROOKSVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. FREDERICK D CASON JR. | M.D. | 1073510772 |
| DR. KEVIN V PALMER | M.D. | 1821064460 |
| DR. MIT NAVANIT DESAI | MD | 1407822422 |
| DR. SANTOSH POTDAR | MD | 1790740041 |
| GEORGE T TSAI | MD | 1770541021 |
| XAVIER M. JENKINS | M.D. | 1295767986 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.