DR. MALLIK A PIDURU M.D.
NPI 1265405997
Surgery in Brooksville, FL

Q: What is Mallik Piduru's NPI number?

The NPI number for Mallik Piduru is 1265405997. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Mallik Piduru's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Mallik Piduru was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since February 13, 2006

11373 CORTEZ BLVD, SUITE 201, BROOKSVILLE, FL 34613(352) 596-7860(352) 597-3657 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mallik A Piduru M.d. NPPES

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

DR. MALLIK A PIDURU M.D. (NPI 1265405997) is an individual surgery provider in Brooksville, Florida, licensed in Florida (ME0044053) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1265405997

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. MALLIK A PIDURUCredential: M.D.

Location Address11373 CORTEZ BLVD, SUITE 201Brooksville, FL 34613-5414

Mailing Address15215 Cortez BlvdBrooksville, FL 34613-6072 · (352) 799-0046 · Fax (727) 861-1881

Phone(352) 596-7860

Fax(352) 597-3657

Sole ProprietorNo

Enumeration DateFebruary 13, 2006

Last NPPES UpdateJanuary 24, 2012

✔ NPI 1265405997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME0044053

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License ME0044053 (FL)

11373 CORTEZ BLVD, Brooksville, FL 34613

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Other Identifiers 9

Other26064FL · Bcbs

Medicare UPIND53444FL

OtherP00867800FL · Rr Mcr Attached To Grp# Ch7269

OtherP00984624FL · Rr Mcr

Medicare ID-Type Unspecified26064XFL

Medicare PIN26064WFL

Other165252FL · Wellcare

Medicare PIN26064ZFL

Medicaid036160700FL

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.

WEST COAST SURGICAL ASSOCIATES

Surgery

11373 CORTEZ BLVD, SUITE NUMBER 201
BROOKSVILLE, FL 34613

Hernando County (727) 861-1441

WOMENS HEALTH ASSOCIATES OF HERNANDO PLC

Obstetrics & Gynecology (Gynecology)

11373 CORTEZ BLVD, SUITE 408
BROOKSVILLE, FL 34613

Hernando County (352) 556-5241

SUN COAST PEDIATRIC CARE INC

Pediatrics

11373 CORTEZ BLVD, SUITE 308
BROOKSVILLE, FL 34613

Hernando County (352) 592-2003

DR. KRISHNA M GANTI M.D.

Specialist

11373 CORTEZ BLVD, SUITE 203
BROOKSVILLE, FL 34613

Hernando County (352) 596-6158

SHAMINDER SINGH BHULLAR M.D.

Ophthalmology

11373 CORTEZ BLVD, STE 400
BROOKSVILLE, FL 34613

Hernando County (352) 597-2604

LYLE G BREEDING M.D.

Surgery

11373 CORTEZ BLVD, SUITE 202
BROOKSVILLE, FL 34613

Hernando County (352) 597-3444

MOWAFFAK ATFEH M.D.

Internal Medicine (Interventional Cardiology)

11373 CORTEZ BLVD, SUITE 307
BROOKSVILLE, FL 34613

Hernando County (352) 596-1616

FLORIDA WOMAN CARE, LLC

Obstetrics & Gynecology

11373 CORTEZ BLVD, SUITE 408
BROOKSVILLE, FL 34613

Hernando County (352) 556-5241

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 Mallik Piduru's NPI number?

The NPI number for Mallik Piduru is 1265405997. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Mallik Piduru located?

Mallik Piduru practices at 11373 Cortez Blvd Suite 201, Brooksville, FL 34613. The listed phone number is (352) 596-7860.

What is Mallik Piduru's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mallik Piduru was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.