SAGARIKA NALLU (NPI# 1255581070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255581070 |
| Entity Type | Individual |
| Full Name | SAGARIKA NALLU |
| Credential | MD |
| Practice Address |
13101 Bruce B Downs Blvd Mdc105 Tampa FL 33612-3803 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 8132598700 |
| Mailing Telephone | 8139742201 |
| Mailing Fax Number | 8139742812 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
ME113018 | FL | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
250077 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 9XISC | 01 |
| FL | 016414800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Tampa General Cir, Tampa, FL 336063603 | 8139742201 | 8139742812 |
| Street Address |
13101 BRUCE B DOWNS BLVD MDC105 |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152832 | Christopher B Griffith | Medical Genetics | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2005-05-31 |
| 1306469044 | Nanci Bowie | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2020-05-28 |
| 1821611575 | Lea Thomas | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2020-05-28 |
| 1871116624 | Tatiana Elaina Wing | Genetic Counselor, MS | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2020-05-27 |
| 1679108807 | Shannon R O'grady-ragsdale | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2020-03-09 |
| 1922639269 | Lissette Tejeda | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2020-01-27 |
| 1528698685 | Rasheedra Robinson | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2020-01-17 |
| 1366082836 | Shaqueesha Walker | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2020-01-13 |
| 1922645985 | Bradlea L Lowman | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2019-12-09 |
| 1306490966 | Sharmaine Dallas | Social Worker | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2019-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851638167 | Ernesto J. Millan Md. Pa. | Psychiatry & Neurology | 5110 N. Habana Ave. Suite #1, Tampa, FL 33614-6873 | 2013-01-07 |
| 1508895905 | Raymond Fernandez | Psychiatry & Neurology | 2508 W Virginia Ave, Suite B, Tampa, FL 33607-6326 | 2006-06-30 |
| 1215999446 | Bay Regional & Intl Inst. of Neurology, Inc | Psychiatry & Neurology | 2508 W. Saint Isabel Street, Suite A, Tampa, FL 33607-6380 | 2006-04-04 |
| 1659606606 | Carolyn M. Carey, Md, Pa | Psychiatry & Neurology | 12220 Bruce B Downs Blvd, Tampa, FL 33612-9201 | 2009-10-08 |
| 1174755110 | Eric Roberto Vernier | Psychiatry & Neurology | 508 S Habana Ave, Suite 340, Tampa, FL 33609-4181 | 2009-08-10 |
| 1437304102 | Carolyn M. Carey, Md, Pa | Psychiatry & Neurology | 2 Tampa General Cir, 7th Floor, Tampa, FL 33606-3603 | 2008-11-22 |
| 1700038361 | Sleepwell, Inc | Psychiatry & Neurology | 2508 W. Saint Isabel Street, Suite B, Tampa, FL 33607-6380 | 2008-10-15 |
| 1316158116 | Christine A Matarese | Psychiatry & Neurology | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2007-05-24 |
| 1326264177 | Radhakrishna K. Rao | Psychiatry & Neurology | 2508 W. Saint Isabel Street, Suite A, Tampa, FL 33607-6380 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841724861 | Neuro and Epilepsy Care Inc | Psychiatry & Neurology | 331 N Maitland Ave Ste D3, Maitland, FL 32751-4755 | 2017-04-17 |
| 1407201510 | Robert Kropp | Psychiatry & Neurology | 100 Beach Dr Ne Unit 1702, Saint Petersburg, FL 33701-3969 | 2016-04-26 |
| 1497142178 | Gian Carlo Rossi | Psychiatry & Neurology | 1324 Lakeland Hills Blvd Ste A, Lakeland, FL 33805-4543 | 2015-04-21 |
| 1942557863 | Henry Osso-rivera | Psychiatry & Neurology | 3100 Sw 62nd Ave Ofc, Miami, FL 33155-3009 | 2012-08-09 |
| 1235492679 | Clermont Neurology,pa | Psychiatry & Neurology | 17307 Pagonia Dr., Suite 100, Clermont, FL 34711-5932 | 2012-06-20 |
| 1093073645 | Abigail E Ley | Psychiatry & Neurology | 150 Sw Chamber Ct Ste 120, Port Saint Lucie, FL 34986 | 2012-05-01 |
| 1033351317 | Danilo Augusto Duenas | Psychiatry & Neurology | 9900 S. Ocean Dr., (601), Jensen Beach, FL 34957 | 2009-04-01 |
| 1619125622 | Avi Elizabeth Domnitz-gebet | Psychiatry & Neurology | 5129 S Lakeland Dr Ste 2, Lakeland, FL 33813-2599 | 2008-09-03 |
| 1508021742 | Germano Falcao | Psychiatry & Neurology | 2984 Alafaya Trl Ste 2020, Oviedo, FL 32765-7628 | 2008-07-28 |
| 1912116450 | Tatyana Dubrovsky | Psychiatry & Neurology | 1150 N 35th Ave Ste 520, Hollywood, FL 33021 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.