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

Dr. Kalyani Manjul Derasari, MD

Individual provider Pediatrics Physician · NPI 1689835357

Dr. Kalyani Manjul Derasari, MD is a Pediatrics Physician in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

4202 E Fowler Ave SHS-100
Tampa, FL 33620-9951
Phone: (813) 974-2331
Fax: (813) 974-7181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME52057 (FL)

Record details

NPI number1689835357
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2008
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024

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