Dr. Keerthika Mathialagan, MD
Student in an Organized Health Care Education/Training Program in Bradenton, FL. Individual provider (NPI-1).
NPI number1457096331
StatusActive
Last updated in NPPESJun 23, 2026
Details
- NPI
- 1457096331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Keerthika Mathialagan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2022
- Certification date
- Jun 23, 2026
- Last updated
- Jun 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | ME169251 | FL |
Practice location
5325 E State Road 64 Ste BBradenton, FL 34208-5534
Phone 941-277-9922
Mailing address
5325 E State Road 64 Ste BBradenton, FL 34208-5534
Phone 941-277-9922
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