Provider Demographics
NPI:1124280789
Name:MUNAGALA, MRUDULA REDDY (MD)
Entity type:Individual
Prefix:DR
First Name:MRUDULA
Middle Name:REDDY
Last Name:MUNAGALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MRUDULA
Other - Middle Name:REDDY
Other - Last Name:ALLAREDDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1801 NW 9TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1102
Mailing Address - Country:US
Mailing Address - Phone:305-355-5000
Mailing Address - Fax:305-355-5797
Practice Address - Street 1:1801 NW 9TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1102
Practice Address - Country:US
Practice Address - Phone:305-355-5000
Practice Address - Fax:305-355-5797
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME124700207RC0000X, 207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
1124280789OtherNPI