Organization Active NPI

Malleswari S Vangara MD PA

  • Internal Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1811175953
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0073484 Issued in FL
Legal business name
MALLESWARI S VANGARA MD PA
Practice address
5515 Gulf Drive
Suite B
New Port Richey, FL 34652
Phone
(727) 843-9200
Fax
(727) 843-9400
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Malleswari S Vangara, MDNPI 1558362269
Title
President
Phone
(727) 843-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0073484 FL Primary

Addresses

Primary practice location

5515 Gulf Drive
Suite B
New Port Richey, FL 34652

Mailing address

5515 Gulf Drive
Suite B
New Port Richey, FL 34652
Phone (727) 843-9200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1811175953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 GULF DRIVE",
            "address_2": "SUITE B",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-843-9200",
            "fax_number": "727-843-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 GULF DRIVE",
            "address_2": "SUITE B",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-843-9200",
            "fax_number": "727-843-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLESWARI S VANGARA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "VANGARA",
        "authorized_official_first_name": "MALLESWARI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-843-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0073484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.