Mallikarjunappa, Unknown

Mallikarjunappa, Unknown is an individual health care provider with primary practice located at 633 Gov Carlos Camacho Road Suite 210 , Tamuning GU 96913. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mallikarjunappa, Unknown can be contacted via phone (671) 649-1001.

Contact Information

Primary practice address
633 Gov Carlos Camacho Road Suite 210 Tamuning GU 96913
Phone: (671) 649-1001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M-1858 Guam

Profile Details

NPI number 1093996233
LBN Legal business name Mallikarjunappa, Unknown
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2007
Last updated Nov 19th, 2019 - about 6 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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