Mallampalli, Antara

Mallampalli, Antara is an individual health care provider with primary practice located at 6567 E Carondelet Ste 215 , Tucson AZ 85710. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Mallampalli, Antara can be contacted via phone (520) 885-1402.

Contact Information

Primary practice address
6567 E Carondelet Ste 215 Tucson AZ 85710
Phone: (520) 885-1402
Fax: (520) 722-5887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 42829 Arizona
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 42829 Arizona
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 42829 Arizona

Profile Details

NPI number 1992885396
LBN Legal business name Mallampalli, Antara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Oct 10th, 2014 - about 12 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 1992885396 NPPES
Texas MEDICAID 158246201
Texas MEDICAID 158246202

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