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DR. KALYANI MANJUL DERASARI M.D.
NPI 1689835357
Pediatrics in Tampa, FL

Active since June 24, 2008
4202 E FOWLER AVE, SHS-100, TAMPA, FL 33620(813) 974-2331(813) 974-7181 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2024, Oct 29, 2020 (2 updates tracked since 2020).

About Dr. Kalyani Manjul Derasari M.d. NPPES

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

DR. KALYANI MANJUL DERASARI M.D. (NPI 1689835357) is an individual pediatrics provider in Tampa, Florida, licensed in Florida (ME52057) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1689835357
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KALYANI MANJUL DERASARICredential: M.D.
Location Address4202 E FOWLER AVE, SHS-100Tampa, FL 33620-9951
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 974-2201 · Fax (813) 974-2812
Phone(813) 974-2331
Fax(813) 974-7181
Sole ProprietorNo
Enumeration DateJune 24, 2008
Last NPPES UpdateJanuary 4, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1689835357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME52057
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4202 E FOWLER AVE, Tampa, FL 33620
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Other Names 1

Other Name (5)Dr. Kalyani Manjul Derasari M.d.

Other Identifiers 2

Other05667FL · Blue Cross Blue Shield
Medicaid000199700FL

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. LISA ANNE HANSEL AU.D.
Audiologist
4202 E FOWLER AVE, PCD 1017
TAMPA, FL 33620
Hillsborough County (813) 974-8804
MARKETA M WILLS MD
Psychiatry & Neurology (Psychiatry)
4202 E FOWLER AVE
TAMPA, FL 33620
Hillsborough County (813) 974-2201
AMY R. DAVIS SLP
Speech-Language Pathologist
4202 E FOWLER AVE, PCD1017
TAMPA, FL 33620
Hillsborough County (813) 974-9844
KEVIN ELLIS GABALSKI
Specialist/Technologist (Athletic Trainer)
4202 E FOWLER AVE
TAMPA, FL 33620
Hillsborough County (813) 974-4607
JAIME DE JESUS VARGAS
Nurse Anesthetist, Certified Registered
4202 E FOWLER AVE
TAMPA, FL 33620
Hillsborough County (813) 974-4607
HUI WILLIAM LEE M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
4202 E FOWLER AVE, SHS100
TAMPA, FL 33620
Hillsborough County (813) 974-2331
DIANA JULBE-DELGADO M.S., CCC-SLP
Speech-Language Pathologist
4202 E FOWLER AVE, PCD1017
TAMPA, FL 33620
Hillsborough County (813) 974-9844
MARIAN ALICE LOWTHER SLP
Speech-Language Pathologist
4202 E FOWLER AVE
TAMPA, FL 33620
Hillsborough County (813) 974-2201

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 Kalyani Derasari's NPI number?

The NPI number for Kalyani Derasari is 1689835357. It was assigned to this individual provider in the NPPES registry on June 24, 2008. The provider is also known as Dr. Kalyani Manjul Derasari M.D..

Where is Kalyani Derasari located?

Kalyani Derasari practices at 4202 E Fowler Ave Shs-100, Tampa, FL 33620. The listed phone number is (813) 974-2331.

What is Kalyani Derasari's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kalyani Derasari was last updated on January 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.