Kamireddy, Mallikarjuna R
Kamireddy, Mallikarjuna R is an individual health care provider with primary practice located at 8200 Jog Rd Suite 204, Boynton Beach FL 33472-2981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kamireddy, Mallikarjuna R can be contacted via phone (561) 496-3484.Contact Information
Primary practice address
8200 Jog Rd Suite 204
Boynton Beach FL 33472-2981
Phone: (561) 496-3484
Fax: (561) 740-4763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME44270 | Florida |
Profile Details
| NPI number | 1699797472 |
|---|---|
| LBN Legal business name | Kamireddy, Mallikarjuna R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 23rd, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699797472 | NPPES |
| Florida | MEDICAID | 000735600 |
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