Challapalli, Malliswari

Challapalli, Malliswari is an individual health care provider with primary practice located at 2160 S 1St Ave (Maguire Center, Rm. 3307), Maywood IL 60153-3328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Challapalli, Malliswari can be contacted via phone (708) 216-4403.

Contact Information

Primary practice address
2160 S 1St Ave (Maguire Center, Rm. 3307) Maywood IL 60153-3328
Phone: (708) 216-4403
Fax: (708) 216-3375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 36054366 Illinois

Profile Details

NPI number 1962476127
LBN Legal business name Challapalli, Malliswari
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 14th, 2009 - about 16 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 1962476127 NPPES
Illinois MEDICAID 36054366

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