DR. MADHAVA T PALLY (NPI# 1821005422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821005422 |
| Entity Type | Individual |
| Full Name | DR. MADHAVA T PALLY |
| Credential | M.D., P.A. |
| Practice Address |
228 Plaza Dr Lehigh Acres FL 33936-6054 |
| Mailing Address |
2316 Patrinostro Rd Plant City FL 33565-7228 |
| Practice Telephone | 2393039550 |
| Practice Fax Number | 2393039551 |
| Mailing Telephone | 8882460313 |
| Mailing Fax Number | 8882471186 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME42506 | FL | Other Service Providers |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101263918 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 067609800 | 05 |
| Street Address |
228 PLAZA DR |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33936-6054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760442057 | Randolph S Geslani | Psychiatry & Neurology | 228 Plaza Dr, Suite E, Lehigh Acres, FL 33936-6054 | 2006-03-23 |
| 1912449695 | Max Belot | Nurse Practitioner | 228 Plaza Dr, Lehigh Acres, FL 33936-6054 | 2016-11-10 |
| 1649673419 | Carla P Leslie | Counselor | 228 Plaza Dr, Lehigh Acres, FL 33936-6054 | 2014-10-07 |
| 1164754420 | Lehigh Holistic Center | Point of Service | 228 Plaza Dr, Unit C, Lehigh Acres, FL 33936-6054 | 2010-02-10 |
| 1942486774 | Madhava T Pally Md Pa | Internal Medicine | 228 Plaza Dr, Lehigh Acres, FL 33936-6054 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241939 | Happy Learning, LLC | Clinic/Center | 1400 Kimdale St E Ste 2, Lehigh Acres, FL 33936 | 2018-07-09 |
| 1184112906 | Fenix Behavior Therapy Co. | Behavioral Analyst | 15 Roosevelt Ave, Lehigh Acres, FL 33936 | 2018-04-26 |
| 1548781586 | Cossette Maiquez | Nurse Practitioner | 448 Morgan Circle South, Lehigh Acres, FL 33936 | 2017-06-29 |
| 1124567714 | Sweet Home Adult Day Care, LLC. | Clinic/Center | 201 Plaza Drive Suite #102, Lehigh Acres, FL 33936 | 2017-02-16 |
| 1306106612 | Darry Dean Griebel | Veterinarian | 21 S. Homestead Rd, Lehigh Acres, FL 33936 | 2012-05-21 |
| 1538469838 | V-20 Medical Services Inc | General Practice | 1420-1422 Lee Blvd, Lehigh Acres, FL 33936 | 2010-11-02 |
| 1093808552 | Abdel R Aryan | Pharmacist | 57 Homestead Rd No., Lehigh Acres, FL 33936 | 2006-10-02 |
| 1265534663 | Steve G Hunter | Pharmacist | 415 Homestead Rd, Lehigh Acres, FL 33936 | 2006-09-05 |
| 1699702035 | Florence Faye Doman | Internal Medicine | Lehigh Regional Medical Center, 1500 Lee Blvd., Lehigh Acres, FL 33936 | 2006-06-28 |
| 1396732970 | Joseph Francis Avey | Family Medicine | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 | 2005-09-29 |
| Find all providers in zip 33936 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992987770 | Haris Turalic | Internal Medicine | 1530 Lee Blvd Ste 1300, Lehigh Acres, FL 33936-4887 | 2007-12-03 |
| 1124027230 | Adrian Michael Danchenko | Internal Medicine | 1530 Lee Blvd, Suite 1100, Lehigh Acres, FL 33936 | 2005-07-20 |
| 1528626215 | Turalic Consulting LLC | Internal Medicine | 1530 Lee Blvd Ste 1300, Lehigh Acres, FL 33936-4887 | 2019-05-29 |
| 1194993659 | Bruce I Timins Md Pa | Internal Medicine | 1154 Lee Blvd, Unit 2, Lehigh Acres, FL 33936-4852 | 2008-02-18 |
| 1386740033 | Keys Cardiology Pa | Internal Medicine | 391 Lee Blvd, Suite 300, Lehigh Acres, FL 33936-4973 | 2006-09-16 |
| 1649231424 | William Webb Richardson | Internal Medicine | 391 Lee Blvd, Suite 300, Lehigh Acres, FL 33936-4973 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765443 | Premier Cardiovascular Center, LLC | Internal Medicine | 450 W State Road 434 Ste 2010, Longwood, FL 32750-5187 | 2020-09-16 |
| 1679199236 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 877 3rd St Ste 3, Chipley, FL 32428-1855 | 2020-06-19 |
| 1972123701 | Heart Clinic of Central Florida LLC | Internal Medicine | 52 Riley Rd # 429, Celebration, FL 34747-5420 | 2020-04-22 |
| 1205465440 | Cardiology Group Panel LLC | Internal Medicine | 201 Nw 82nd Ave Ste 405, Plantation, FL 33324-1883 | 2020-04-08 |
| 1346876745 | H & D Cardiology, Pa | Internal Medicine | 1879 Nightingale Ln Ste B2, Tavares, FL 32778-4363 | 2020-03-17 |
| 1427690775 | The Cardiac and Vascular Institute Ambulatory Surgery Center | Internal Medicine | 4645 Nw 8th Ave Ste 10, Gainesville, FL 32605-4688 | 2019-10-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1023660255 | Florida Medical Specialists LLC | Internal Medicine | 1250 S Tamiami Trl Ste 300, Sarasota, FL 34239-2221 | 2019-07-09 |
| 1962064493 | Ckk Medical LLC | Internal Medicine | 6600 Sw State Road 200 # 200, Ocala, FL 34476-5554 | 2019-07-04 |
| 1952968026 | Jose Miguel Simo | Internal Medicine | 3347 S State Road 7 Ste 205, Wellington, FL 33449-8148 | 2019-05-23 |
| Find all providers with the same taxonomy | ||||
| City | LEHIGH ACRES |
| Zip Code | 33936 |
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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.