MEDICARE: DR. DURGA PRASAD MAGANTI M.D.,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME96502	FL
2	207RI0200X	Infectious Disease Physician	ME96502	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619075579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DURGA PRASAD MAGANTI M.D.,

Provider Business Mailing Address
First Line	:	4354 DUCK DOWN LANE
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33884-3599
Country	:	US
Telephone Number	:	863-353-1394
Fax Number	:	863-638-5722

Provider Business Practice Location Address
First Line	:	2243 NORTH BLVD W
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-8990
Country	:	US
Telephone Number	:	863-353-1394
Fax Number	:	863-638-5722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	07/15/2025

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Directions to “ DR. DURGA PRASAD MAGANTI M.D.,” Practice Location

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