Mallaiah, Lenkala R

Mallaiah, Lenkala R is an sole proprietor health care provider with primary practice located at 311 N Mangoustine Ave , Sanford FL 32771-1098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mallaiah, Lenkala R can be contacted via phone (407) 321-4570.

Contact Information

Primary practice address
311 N Mangoustine Ave Sanford FL 32771-1098
Phone: (407) 321-4570
Fax: (407) 321-7690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0037029 Florida

Profile Details

NPI number 1891794954
LBN Legal business name Mallaiah, Lenkala R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Mar 1st, 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 1891794954 NPPES
Florida MEDICAID 065414100
Florida Other 59292

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