MEDICARE: SUMALATHA NANDIKONDA 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	207R00000X	Internal Medicine Physician	MT196363	PA
2	207R00000X	Internal Medicine Physician	2013027012	MO
3	207RR0500X	Rheumatology Physician	ME172254	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174842017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMALATHA NANDIKONDA MD

Provider Business Mailing Address
First Line	:	1727 ORLANDO CENTRAL PKWY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5732
Country	:	US
Telephone Number	:	407-888-5980
Fax Number	:	407-888-2492

Provider Business Practice Location Address
First Line	:	1727 ORLANDO CENTRAL PKWY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5732
Country	:	US
Telephone Number	:	407-888-5980
Fax Number	:	407-888-2492

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

Provider Enumeration Date	:	05/18/2010
Last Update Date	:	01/06/2026

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Directions to “ SUMALATHA NANDIKONDA MD” Practice Location

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