MALERY SHASHIDHARA MD NPI 1649263872

NPI Information

NPI: 1649263872
Provider Name: MALERY SHASHIDHARA, MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
250 2ND ST E
STE 3E
BRADENTON, FL
ZIP 34208
Phone: (941) 748-2417
Get Directions

Malery Shashidhara, MD is a gastroenterology internal medicine in Bradenton, FL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Malery Shashidhara, MD NPI is 1649263872. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

250 2ND ST E
STE 3E
BRADENTON, FL
ZIP 34208-029
Phone: (941) 748-2417
Fax: (941) 748-3694

The enumeration date for this NPI number is 8/23/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	ME0041924	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D86374	MEDICARE UPIN
2	2905130	OTHER		UNITED HEALTH CARE
3	4259049	OTHER		AETNA PPO
4	656482	OTHER		AETNA HMO
5	79772Z	MEDICARE ID-TYPE UNSPECIFIED
6	79772	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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