Samala, Mallikarjun
Samala, Mallikarjun is an sole proprietor health care provider with primary practice located at 1412 Milstead Ave Ne , Conyers GA 30012-3877. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Samala, Mallikarjun can be contacted via phone (770) 918-8079.Contact Information
Primary practice address
1412 Milstead Ave Ne
Conyers GA 30012-3877
Phone: (770) 918-8079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1093101511 | Louisiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 79910 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 79910 | Georgia |
Profile Details
| NPI number | 1093101511 |
|---|---|
| LBN Legal business name | Samala, Mallikarjun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2015 |
| Last updated | Nov 25th, 2025 - about last year |
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.
Popular Providers
-
Akmal, Nayeem
2020 Honey Creek Pkwy Se , Conyers GA 30013-2974 -
Griffin, Alvin V
1039 E Freeway Dr Se , Conyers GA 30094-5965 -
Sadeghi, Ramin
1101 Nortec Dr Se , Conyers GA 30013-5835 -
Manning, Michael Joseph
2215 Exchange Pl Se , Conyers GA 30013-6723 -
Land, Grant Thomas
1445 Old Mcdonough Hwy Se, Suite E , Conyers GA 30094-7788 -
Felton, Stephen F
1445 Old Mcdonough Hwy Se Ste E , Conyers GA 30094-5977 -
Strange-Canady, Sheryl L.
1775 Parker Rd Suite C240, Conyers GA 30094 -
Suss, Stephen John
1478 Dogwood Drive, Se, Suites B & C Kaiser Permanente Conyers Medical Center, Conyers GA 30013