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Contact Information

PUSHPA ALLAM NANDYALA, MD
11375 CORTEZ BLVD
OAK HILL HOSPITAL
BROOKSVILLE, FL34613-5409
 Phone: 352-596-6632
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PUSHPA ALLAM NANDYALA · (Female)

NPI Number 1023245032
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2009
Last updated 12/22/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME72587
  • FL Other 14E74 BCBS OF FL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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