Kamireddy, Mallikarjuna R

Kamireddy, Mallikarjuna R is an individual health care provider with primary practice located at 8200 Jog Rd Suite 204, Boynton Beach FL 33472-2981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kamireddy, Mallikarjuna R can be contacted via phone (561) 496-3484.

Contact Information

Primary practice address
8200 Jog Rd Suite 204 Boynton Beach FL 33472-2981
Phone: (561) 496-3484
Fax: (561) 740-4763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME44270 Florida

Profile Details

NPI number 1699797472
LBN Legal business name Kamireddy, Mallikarjuna R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 23rd, 2009 - about 15 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 1699797472 NPPES
Florida MEDICAID 000735600

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