Mala Thenappan, Md

LBN: Mala Thenappan, Md
Mala Thenappan, Md is an health care organization with primary practice located at 3070 N 51St St Suite 100, Milwaukee WI 53210-1645. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mala Thenappan, Md can be contacted via phone (414) 875-9950, or through Thenappan, Mala via phone (414) 875-9950.

Contact Information

Primary practice address
3070 N 51St St Suite 100 Milwaukee WI 53210-1645
Phone: (414) 875-9950
Fax: (414) 447-2575
Website:
Map and Directions
Authorized official contact:
Name: Thenappan, Mala Doctor of Medicine (MD)
Phone: (414) 875-9950

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1588619134
LBN Legal business name Mala Thenappan, Md
DBA Doing business as
Authorized official Thenappan, Mala Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588619134 NPPES
Wisconsin MEDICAID 32430500

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