Lalgondar, Mallikarjun Devappa
Lalgondar, Mallikarjun Devappa is an individual health care provider with primary practice located at 115 Airport Rd , Sulphur Springs TX 75482-2105. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Lalgondar, Mallikarjun Devappa can be contacted via phone (903) 885-7671.Contact Information
Primary practice address
115 Airport Rd
Sulphur Springs TX 75482-2105
Phone: (903) 885-7671
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1679205066 |
|---|---|
| LBN Legal business name | Lalgondar, Mallikarjun Devappa |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2022 |
| Last updated | Jun 18th, 2024 - about 2 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.
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