Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Jaya Prakash Mallela, MD

Individual provider Internal Medicine Physician · NPI 1407547326

Dr. Jaya Prakash Mallela, MD is an Internal Medicine Physician in Jacksonville, Florida. Licensed in Florida and Oklahoma. Registered with an NPI since 2023.

Licensed in
FL, OK
In the registry since
2023
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205
Phone: (904) 202-3860
Fax: (904) 202-3846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence ME183183 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME183183 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 41404 (OK)

Record details

NPI number1407547326
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2023
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026

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