Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mallik A Piduru, MD

Individual provider Surgery Physician · NPI 1265405997

Dr. Mallik A Piduru, MD is a Surgery Physician in Brooksville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
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

11373 Cortez Blvd Ste 201
Brooksville, FL 34613-5414
Phone: (352) 596-7860
Fax: (352) 597-3657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME0044053 (FL)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence ME0044053 (FL)

Record details

NPI number1265405997
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESJanuary 24, 2012

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