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

Kiranmayi Palla Muddasani

Individual provider Colon & Rectal Surgery Physician · NPI 1205024254

Kiranmayi Palla Muddasani is a Colorectal Surgery (Proctology) in Miami Beach, Florida. Qualified in 2004, 22 years ago. Practices with Physician Practices of Msmc LLC, a 178-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
22
Licensed in
FL
In the registry since
2007

Practice location Address checks out

4306 Alton Rd
Miami Beach, FL 33140-2840
Phone: (305) 674-2121
Show map & directions

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

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence ME 124298 (FL)

Record details

NPI number1205024254
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2007
Last updated in NPPESJuly 20, 2015

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Physician Practices Of Msmc Llc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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