Individual provider · Type 1 NPI

Jaida Chacko Madathilethu, MD

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1346182292 Active

Practice location

13601 Bruce B Downs Blvd Ste 300
Tampa, FL 33613-4653

Call (863) 934-2278 Map

Mailing address

4133 Mayfair Way
Lakeland, FL 33812-0824

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346182292

Jaida Chacko Madathilethu, MD's National Provider Identifier is 1346182292, issued on Apr 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on Apr 8, 2026.