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

Dr. Shravan Kumar Reddy Mallapu

Individual provider Internal Medicine Physician · NPI 1114182441

Dr. Shravan Kumar Reddy Mallapu is an Internal Medicine in Bronx, New York. Qualified in 1994, 32 years ago. Practices with Madonna Rehabilitation Hospital, a 91-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
32
Licensed in
NY
In the registry since
2008

Practice location Address checks out

2015 Grand Concourse
Bronx, NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 272176 (NY)

Record details

NPI number1114182441
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2008
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Madonna Rehabilitation Hospital — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bronx