Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. ADITYA K MUDIGONDA DO
NPI 1639097009
Family Medicine in Daytona Beach, FL

Q: What is Aditya Mudigonda's NPI number?

The NPI number for Aditya Mudigonda is 1639097009. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Q: What is Aditya Mudigonda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Aditya Mudigonda was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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 July 06, 2026

201 N CLYDE MORRIS BLVD STE 200, DAYTONA BEACH, FL 32114(386) 425-4165 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Aditya K Mudigonda Do NPPES

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

MR. ADITYA K MUDIGONDA DO (NPI 1639097009) is an individual family medicine provider in Daytona Beach, Florida, licensed in Florida (UO11553) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1639097009

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. ADITYA K MUDIGONDACredential: DO

Location Address201 N CLYDE MORRIS BLVD STE 200Daytona Beach, FL 32114-2765

Mailing Address201 N Clyde Morris Blvd Ste 200, Suite 200Daytona Beach, FL 32114-2765 · (386) 425-4165

Phone(386) 425-4165

Sole ProprietorNo

Enumeration DateJuly 6, 2026

NPPES CertifiedJuly 6, 2026

✔ NPI 1639097009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · UO11553

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

201 N CLYDE MORRIS BLVD STE 200, Daytona Beach, FL 32114

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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.

DR. OLIVIA MANGAT DHALIWAL MD

Family Medicine