Search › Florida › 183500000X
Mallikajruna Rao Penumudi, M.S
NPI 1841418126 · on the registry since 2007
Practice
- Address
- 975 S Babcock St
Melbourne, FL 32901 - Phone
- (321) 723-4664
- Organisation at this address
- Walgreen Co
Walgreen CoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
183500000X
183500000X - Licence states on file
- FL, GA, ME, NH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida