Malladi, Satya Venkata Subramanyam

Malladi, Satya Venkata Subramanyam is an individual health care provider with primary practice located at 9922 N Nevada St , Spokane WA 99218-1126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Malladi, Satya Venkata Subramanyam can be contacted via phone (509) 747-6194.

Contact Information

Primary practice address
9922 N Nevada St Spokane WA 99218-1126
Phone: (509) 747-6194
Fax: (509) 838-0824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60509476 Washington

Profile Details

NPI number 1790902088
LBN Legal business name Malladi, Satya Venkata Subramanyam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Nov 29th, 2022 - about 4 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 1790902088 NPPES
Washington Other 0341379 LABOR & INDUSTRIES
Washington MEDICAID 2042560 LABOR & INDUSTRIES

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