MADHURYA PAVANI MULLA (NPI# 1396373692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396373692 |
| Entity Type | Individual |
| Full Name | MADHURYA PAVANI MULLA |
| Credential | DO, MPH |
| Practice Address |
11375 Cortez Blvd # Sr50 Brooksville FL 34613-5409 |
| Mailing Address |
2144 Nw 159th Ave Pembroke Pines FL 33028-2441 |
| Practice Telephone | 3525922755 |
| Mailing Telephone | 9548659228 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
11375 CORTEZ BLVD # SR50 |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437648656 | Meghana Rao | Internal Medicine | 11375 Cortez Blvd # Sr50, Brooksville, FL 34613-5409 | 2018-05-03 |
| 1073142345 | Alicia Linda Kilian | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd # Sr50, Brooksville, FL 34613-5409 | 2020-04-07 |
| 1124657671 | Mohammad Hassan Razzaq | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd # Sr50, Brooksville, FL 34613-5409 | 2020-04-06 |
| 1871121020 | Rebecca Smidy | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd # Sr50, Brooksville, FL 34613-5409 | 2020-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1386296499 | Rena Michelle Davis | Student in an Organized Health Care Education/Training Program | 20170 Cortez Blvd, Brooksville, FL 34601-3832 | 2019-07-10 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1336763283 | Paven Uppal | Student in an Organized Health Care Education/Training Program | 11373 Cortez Blvd Ste 408, Brooksville, FL 34613-5406 | 2020-06-05 |
| 1740809268 | Benjamin Micah Reinhold | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-14 |
| 1427677392 | Meagan Brandy Powers | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-10 |
| 1619596749 | Rahman Hashimie | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-09 |
| 1184243271 | Bradford James Felker Montane | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-09 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
Please comment or provide details below to improve the information on MADHURYA PAVANI MULLA.
| 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.