Malla, Yogesh B

Malla, Yogesh B is an individual health care provider with primary practice located at 2831 Lone Oak Rd , Paducah KY 42003-8041. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Malla, Yogesh B can be contacted via phone (270) 554-8373.

Contact Information

Primary practice address
2831 Lone Oak Rd Paducah KY 42003-8041
Phone: (270) 554-8373
Fax: (270) 554-8987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 38503 Kentucky
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036112552 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 38503 Kentucky

Profile Details

NPI number 1205817525
LBN Legal business name Malla, Yogesh B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Sep 4th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205817525 NPPES
Kentucky Other 000000338788 BC/BS
Kentucky MEDICAID 64080393 BC/BS

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