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DR. GAGAN GNANESWARA MIDATHALA MD
NPI 1033050836
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since April 03, 2026
3003 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607(813) 554-8126 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gagan Gnaneswara Midathala Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GAGAN GNANESWARA MIDATHALA MD (NPI 1033050836) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1033050836
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. GAGAN GNANESWARA MIDATHALACredential: MD
Location Address3003 W DR MARTIN LUTHER KING JR BLVDTampa, FL 33607-6307
Mailing Address3003 W Dr Martin Luther King Jr BlvdTampa, FL 33607-6307 · (813) 554-8126
Phone(813) 554-8126
Sole ProprietorNo
Enumeration DateApril 3, 2026
NPPES CertifiedApril 3, 2026
✔ NPI 1033050836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
3003 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR KRIZAN
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
JESSE BLAIR
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
JAD HAMDEN MD
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
ANTONIO FRANCISCO PEREZ
Psychiatry & Neurology (Psychiatry)
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
ANGALINA QUINONES DO
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
SAMANTHA BOGARD DO
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
GARRETT FORMAN MD, MPH
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
KATHRYN MARIE COUTURE KELLY MD
Hospitalist
3003 W DR MARTIN LUTHER KING JR BLVD, CHRONIC COMPLEX CLINIC
TAMPA, FL 33607
Hillsborough County (813) 554-8121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gagan Midathala's NPI number?

The NPI number for Gagan Midathala is 1033050836. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Gagan Midathala located?

Gagan Midathala practices at 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607. The listed phone number is (813) 554-8126.

What is Gagan Midathala's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Gagan Midathala was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.