MURALI MOHAN RAJU MUPPALA (NPI# 1932155512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932155512 |
| Entity Type | Individual |
| Full Name | MURALI MOHAN RAJU MUPPALA |
| Credential | MD |
| Practice Address |
13340 Metro Parkway Suite 200 Fort Myers FL 33966-4703 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393430550 |
| Practice Fax Number | 2393434013 |
| Mailing Telephone | 2393430550 |
| Mailing Fax Number | 2393434013 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME96222 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME96222 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE ID | U8998Z | 01 |
| FL | 008656100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14051 Metropolis Ave, Fort Myers, FL 339124330 | 2393439270 | 2393439277 |
| Street Address |
13340 METRO PARKWAY SUITE 200 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33966-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495079 | William J Carracino | Psychiatry & Neurology | 13340 Metro Parkway, Suite 400, Fort Myers, FL 33966 | 2005-05-23 |
| 1255850673 | Jess Itzikowitz | Physician Assistant | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2017-09-18 |
| 1760860126 | Ryan Ress | Nurse Practitioner | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2015-05-18 |
| 1821350539 | Nemalan Selvaraj | Internal Medicine | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2012-06-10 |
| 1386917789 | Jean Ernest Hage | Internal Medicine | 13340 Metro Parkway, Suite 310, Fort Myers, FL 33966-4703 | 2012-02-15 |
| 1053698266 | Bradley Klement | Physician Assistant | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2011-11-16 |
| 1467635623 | Elena Gatskevich | Internal Medicine | 13340 Metro Parkway, Suite 310, Fort Myers, FL 33966 | 2007-12-11 |
| 1689782377 | Silvia Maria Velasquez | Internal Medicine | 13340 Metro Parkway, Suite 310, Fort Myers, FL 33966 | 2006-08-25 |
| 1083682538 | Brian K Arcement | Internal Medicine | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966 | 2006-03-10 |
| 1417925967 | Vladimir Ilic | Internal Medicine | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2006-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
| 1932646171 | Jose M Butron | Behavioral Analyst | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966 | 2017-01-26 |
| 1003276833 | Katia Jasmin Robinson Lucero | Social Worker | 3820 Colonial Blvd Suite #102, Fort Myers, FL 33966 | 2016-03-07 |
| 1578947610 | Christian Milanes | Dentist | 9330 Ben C. Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33966 | 2015-07-18 |
| 1003166273 | Reetane Singh | Dentist | 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 | 2012-09-14 |
| 1518216159 | Lee Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 10140 Deer Run Farms Road, Fort Myers, FL 33966 | 2012-08-29 |
| 1033482724 | Planned Parenthood of Southwest and Central Florida Inc. | Obstetrics & Gynecology | 6418 Commerce Park Drive, Fort Myers, FL 33966 | 2012-02-11 |
| 1013292291 | J Kru Therapy LLC Dba Focus | Physical Therapist | 4997 Royal Gulf Cir, Fort Myers, FL 33966 | 2011-10-19 |
| 1528354651 | American In-home Care, LLC | Home Health | 3800 Colonial Blvd Unit 102, Fort Myers, FL 33966 | 2011-06-27 |
| 1811219256 | Vera Marie Rosado-odom | Internal Medicine | 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966 | 2010-02-26 |
| Find all providers in zip 33966 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013415371 | Cardiac Cin of Naples LLC | Internal Medicine | 8831 Business Park Dr Ste 301c, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1174588594 | R Paul Liccini Md LLC | Internal Medicine | 12645 New Brittany Blvd, Bldg 15, Fort Myers, FL 33907-3631 | 2006-04-19 |
| 1750763777 | Sunshine Cardiovascular Services | Internal Medicine | 8695 College Pkwy, Fort Myers, FL 33919-4809 | 2015-06-25 |
| 1821350539 | Nemalan Selvaraj | Internal Medicine | 13340 Metro Parkway, Suite 200, Fort Myers, FL 33966-4703 | 2012-06-10 |
| 1174755714 | Kamaldeep Singh | Internal Medicine | 16261 Bass Rd, Suite 300, Fort Myers, FL 33908-3671 | 2009-08-16 |
| 1366414682 | James A. Conrad | Internal Medicine | 16261 Bass Rd, Suite 300, Fort Myers, FL 33908 | 2006-02-02 |
| 1700857356 | Robert M. Grohowski | Internal Medicine | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2006-01-31 |
| 1619969078 | Raymond Paul Liccini | Internal Medicine | 16261 Bass Rd Ste 300, Fort Myers, FL 33908 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861004277 | Steve Malosky Md LLC | Internal Medicine | 900 Sw Saint Lucie Cres, Stuart, FL 34994-2842 | 2020-08-18 |
| 1881212744 | North Broward Hospital District | Internal Medicine | 817 S University Dr Ste 104, Plantation, FL 33324-3345 | 2020-07-08 |
| 1821612821 | Satish Sivasankaran Md Pa | Internal Medicine | 5340 Gulf Dr Ste 101, New Port Richey, FL 34652-3922 | 2020-06-04 |
| 1699317933 | Abid A Shah Md LLC | Internal Medicine | 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 | 2019-10-08 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1205329620 | Central Florida Cardiovascular Imaging Center, LLC | Internal Medicine | 1717 Mayo Dr, Tavares, FL 32778-4307 | 2018-06-11 |
| 1568953511 | Orlando Lopez-fernandez Jr. | Internal Medicine | 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 | 2018-05-25 |
| 1467959668 | Cardiology Practice Pa | Internal Medicine | 5051 Ashington Landing Dr, Tampa, FL 33647-3515 | 2018-04-12 |
| 1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
| 1114425477 | Cardiac Cin of Miami LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 | 2018-01-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33966 |
Please comment or provide details below to improve the information on MURALI MOHAN RAJU MUPPALA.
| 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.