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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1891794954 | NPPES |
| Florida | MEDICAID | 065414100 | |
| Florida | Other | 59292 |
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