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
Mailing address15215 Cortez Blvd, Brooksville, FL 34613-6072

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