Bagewadi Ellur, Mallikarjuna

Bagewadi Ellur, Mallikarjuna is an sole proprietor health care provider with primary practice located at 1000 W 10Th St , Rolla MO 65401-2905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bagewadi Ellur, Mallikarjuna can be contacted via phone (573) 458-8899.

Contact Information

Primary practice address
1000 W 10Th St Rolla MO 65401-2905
Phone: (573) 458-8899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2017006920 Missouri

Profile Details

NPI number 1790125615
LBN Legal business name Bagewadi Ellur, Mallikarjuna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2013
Last updated Oct 27th, 2023 - 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.

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