Iyer, Mallika
Iyer, Mallika is an sole proprietor health care provider with primary practice located at 100 Medical Center Blvd #120, Conroe TX 77304-2888. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Iyer, Mallika can be contacted via phone (936) 441-9944.Contact Information
Primary practice address
100 Medical Center Blvd #120
Conroe TX 77304-2888
Phone: (936) 441-9944
Fax: (936) 441-9910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | K0838 | Texas |
Profile Details
| NPI number | 1417965096 |
|---|---|
| LBN Legal business name | Iyer, Mallika |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Feb 22nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417965096 | NPPES |
| Texas | MEDICAID | 043533102 | |
| Texas | Other | 8A4680 | |
| Texas | Other | P00148033 |
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