Individual provider · Type 1 NPI

Keerthika Mathialagan, MD

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

NPI number 1457096331 Active

Practice location

5325 E State Road 64 Ste B
Bradenton, FL 34208-5534

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XME169251 (FL)
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 1457096331

Keerthika Mathialagan, MD's National Provider Identifier is 1457096331, issued on May 4, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bradenton, FL. The record was last updated on Jun 23, 2026.