MEDICARE: DR. SAMRIDHI NARULA NALLAMSHETTY 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	207KA0200X	Allergy Physician	ME101592	FL
2	207KI0005X	Clinical & Laboratory Immunology (Allergy & Immunology) Physician	ME101592	FL
3	207R00000X	Internal Medicine Physician	ME101592	FL
4	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	ME101592	FL
5	207K00000X	Allergy & Immunology Physician	ME101592	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01148875	OTHER	FL	R&R MEDICARE

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	:	1437274701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMRIDHI NARULA NALLAMSHETTY M.D.

Provider Business Mailing Address
First Line	:	38135 MARKET SQ
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-7505
Country	:	US
Telephone Number	:	813-528-4975
Fax Number	:

Provider Business Practice Location Address
First Line	:	2352 BRUCE B DOWNS BLVD STE 303
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-9203
Country	:	US
Telephone Number	:	813-388-6855
Fax Number	:	813-355-5894

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

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	08/30/2021

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Directions to “ DR. SAMRIDHI NARULA NALLAMSHETTY M.D.” Practice Location

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