Dr. Kalyani Manjul Derasari

M.D. | Pediatric Adolescent Medicine | Female

Dr. Kalyani Manjul Derasari, M.D. is a Tampa, Florida based Pediatric doctor with medical specialization in Pediatric Adolescent Medicine. Dr. Kalyani Manjul Derasari is also known as Kalyani Manjul Derasari. Current practice location of Dr. Kalyani Manjul Derasari is 4202 E Fowler Ave, Shs-100, Tampa, Florida - 33620-9951. She can be contacted on phone at 813-974-2331 and fax number 813-974-7181. Dr. Kalyani Manjul Derasari is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kalyani Manjul Derasari is 1689835357 which was assigned by NPPES on 24 Jun, 2008 and it was last updated on 29 Oct, 2020. Dr. Kalyani Manjul Derasari license number is ME52057 for Pediatrics Adolescent Medicine (2080A0000X) in Florida.
Dr. Kalyani Manjul Derasari specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Kalyani Manjul Derasari basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Adolescent Medicine
Provider Name :Dr. Kalyani Manjul Derasari
Other Name :Kalyani Manjul Derasari
Credential :M.D.
Gender :Female
Business Address:
Dr. Kalyani Manjul Derasari address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :4202 E Fowler Ave, Shs-100
Tampa, FL, 33620-9951
United States
Phone Number :813-974-2331
Fax Number :813-974-7181
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1689835357
NPI Entity Type : Individual
First Enrolment Date : 24 Jun, 2008
Last Updated On : 29 Oct, 2020
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kalyani Manjul Derasari are as mentioned. Primary taxonomy code for Dr. Kalyani Manjul Derasari, M.D. is 2080A0000X (Pediatrics Adolescent Medicine).
Taxonomy Code SpecialityPrimaryLicense No.State
2080A0000XPediatrics Adolescent MedicineYesME52057FL
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kalyani Manjul Derasari such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
000199700MEDICAIDFL
05667OtherFLBLUE CROSS BLUE SHIELD
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
DIRECT
(Direct Messaging Address)
kderasari91643@direct.tgh.org

No affiliation



4202 E FOWLER AVE, SHS-100
TAMPA, FL, 33620-9951
United States
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 917770
Orlando, FL, 32891-0001
United States
Phone Number :813-974-2201
Fax Number :813-974-2812
Business Location:
Patients can refer following map for directions to Dr. Kalyani Manjul Derasari practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.