Mallampati, Komala Devi

Mallampati, Komala Devi is an sole proprietor health care provider with primary practice located at 514 Joyce St , Orange NJ 07050-1411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Mallampati, Komala Devi can be contacted via phone (973) 672-2214.

Contact Information

Primary practice address
514 Joyce St Orange NJ 07050-1411
Phone: (973) 672-2214
Fax: (973) 672-1320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MA41876 New Jersey

Profile Details

NPI number 1144200262
LBN Legal business name Mallampati, Komala Devi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1144200262 NPPES
New Jersey MEDICAID 6413901

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