Mulamalla, Roja R

Mulamalla, Roja R is an individual health care provider with primary practice located at 444 W Bourne Cir Ste 200 , Farmington UT 84025. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Mulamalla, Roja R can be contacted via phone (801) 776-0174.

Contact Information

Primary practice address
444 W Bourne Cir Ste 200 Farmington UT 84025
Phone: (801) 776-0174
Fax: (801) 825-3904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 8332919-1205 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X LL1646 Nevada
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 8332919-1205 Utah

Profile Details

NPI number 1396869681
LBN Legal business name Mulamalla, Roja R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jun 13th, 2019 - about 7 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 1396869681 NPPES
Nevada MEDICAID 100500484 GROUP

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