Individual provider · Type 1 NPI

Vamsi Priyatham Reddy Mallu, MD

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

NPI number 1750229845 Active

Practice location

9330 State Road 54
Trinity, FL 34655-1808

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 1750229845

Vamsi Priyatham Reddy Mallu, MD's National Provider Identifier is 1750229845, issued on Mar 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Trinity, FL. The record was last updated on Mar 23, 2026.