Individual provider · Type 1 NPI

Mallik A. Piduru, MD

Surgery Physician · Brooksville, FL

NPI number 1265405997 Active

Practice location

11373 Cortez Blvd, Suite 201
Brooksville, FL 34613-5414

Fax (352) 597-3657

Mailing address

15215 Cortez Blvd
Brooksville, FL 34613-6072

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XME0044053 (FL)
Vascular Surgery Physician 2086S0129XME0044053 (FL)

Surgery Physician: 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 increasin…

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About NPI 1265405997

Mallik A. Piduru, MD's National Provider Identifier is 1265405997, issued on Feb 13, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Brooksville, FL. The record was last updated on Jan 24, 2012.