MEDICARE: LENKALA R MALLAIAH MD

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	207RG0100X	Gastroenterology Physician	ME0037029	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
2	59292	OTHER	FL	BS/BS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891794954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LENKALA R MALLAIAH MD

Provider Business Mailing Address
First Line	:	311 N MANGOUSTINE AVE
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-1098
Country	:	US
Telephone Number	:	407-321-4570
Fax Number	:	407-321-7690

Provider Business Practice Location Address
First Line	:	311 N MANGOUSTINE AVE
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-1098
Country	:	US
Telephone Number	:	407-321-4570
Fax Number	:	407-321-7690

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	03/01/2012

Similar Medicare Providers

1508725565 — MARJORIE LUCK LMT
Practice Location Address:

321 N MANGOUSTINE AVE
SANFORD, FL
32771-1098

Practice Phone: 407-539-3950
Practice Fax: 407-539-2661

1942290341 — DR. DAVID J. HAK MD
Practice Location Address:

309 N MANGOUSTINE AVE UNIT G
SANFORD, FL
32771-1098

Practice Phone: 321-363-1754
Practice Fax:

1952374498 — SAMUEL G. AGNEW MD
Practice Location Address:

309 N MANGOUSTINE AVE UNIT G
SANFORD, FL
32771-1098

Practice Phone: 321-363-1754
Practice Fax: 321-363-3336

1902867468 — DR. ANTHONY MICHAEL HARRIS M.D.
Practice Location Address:

309 N MANGOUSTINE AVE UNIT G
SANFORD, FL
32771-1098

Practice Phone: 321-363-1754
Practice Fax: 321-363-3336

1720039944 — DR. NARINDER SINGH AUJLA MD
Practice Location Address:

317 N MANGOUSTINE AVE
SANFORD, FL
32771-1098

Practice Phone: 407-323-2577
Practice Fax:

1982648754 — TRI-COUNTY ORTHOPAEDICS, PA
Practice Location Address:

317 N MANGOUSTINE AVE
SANFORD, FL
32771-1098

Practice Phone: 407-323-2577
Practice Fax: 407-323-6559

Directions to “ LENKALA R MALLAIAH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.