Individual provider · Type 1 NPI

Manjula S. Mangipudy, MD

Adolescent Medicine (Family Medicine) Physician · St. Petersburg, FL

NPI number 1053408492 Active

Practice location

205 Dr Martin Luther King Jr St N, Suite 419
St. Petersburg, FL 33701-3109

Call (727) 820-4231 Map

Fax (727) 820-4231

Mailing address

700 S Harbour Island Blvd, Unit 819
Tampa, FL 33602-5712

Specialties and licenses

TaxonomyCodeLicense
Adolescent Medicine (Family Medicine) Physician Primary 207QA0000XME038891 (FL)

Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

13 other providers at this address

About NPI 1053408492

Manjula S. Mangipudy, MD's National Provider Identifier is 1053408492, issued on Oct 6, 2006. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in St. Petersburg, FL. The record was last updated on Nov 20, 2009.