Mallur, Pavan S

Mallur, Pavan S is an sole proprietor health care provider with primary practice located at 110 Francis St Suite 6E, Boston MA 02215-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mallur, Pavan S can be contacted via phone (617) 632-7509.

Contact Information

Primary practice address
110 Francis St Suite 6E Boston MA 02215-5501
Phone: (617) 632-7509
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 247305 Massachusetts

Profile Details

NPI number 1144427584
LBN Legal business name Mallur, Pavan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2007
Last updated Jul 7th, 2011 - about 15 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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