Anne, Mallikarjuna

Anne, Mallikarjuna is an individual health care provider with primary practice located at 2233 W Division St , Chicago IL 60622-3043. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is his primary health care specialty. Anne, Mallikarjuna can be contacted via phone (312) 770-2000.

Contact Information

Primary practice address
2233 W Division St Chicago IL 60622-3043
Phone: (312) 770-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 036044990 Illinois
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 036044990 Illinois
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036044990 Illinois

Profile Details

NPI number 1548356678
LBN Legal business name Anne, Mallikarjuna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated May 9th, 2012 - about 12 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 1548356678 NPPES
Illinois Other 01634127 BCBS IL
Illinois MEDICAID 036044990 BCBS IL

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