Gagan Gnaneswara Midathala, MD Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Tampa, FL
- NPI
- 1033050836
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2026-04-03
- Last updated
- 2026-04-03
Practice location
3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
(813) 554-8126