Provider Demographics
NPI:1437274701
Name:NALLAMSHETTY, SAMRIDHI NARULA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMRIDHI
Middle Name:NARULA
Last Name:NALLAMSHETTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAMRIDHI
Other - Middle Name:
Other - Last Name:NARULA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:38135 MARKET SQ
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-7505
Mailing Address - Country:US
Mailing Address - Phone:813-528-4975
Mailing Address - Fax:
Practice Address - Street 1:2352 BRUCE B DOWNS BLVD STE 303
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-9203
Practice Address - Country:US
Practice Address - Phone:813-388-6855
Practice Address - Fax:813-355-5894
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME101592207KA0200X, 207KI0005X, 207R00000X, 207RA0201X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
No207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000305500Medicaid
FLP01148875OtherR&R MEDICARE
FLBH134XMedicare PIN