Mallampalli, Antara
Mallampalli, Antara is an individual health care provider with primary practice located at 6567 E Carondelet Ste 215 , Tucson AZ 85710. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Mallampalli, Antara can be contacted via phone (520) 885-1402.Contact Information
Primary practice address
6567 E Carondelet Ste 215
Tucson AZ 85710
Phone: (520) 885-1402
Fax: (520) 722-5887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 42829 | Arizona |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 42829 | Arizona |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 42829 | Arizona |
Profile Details
| NPI number | 1992885396 |
|---|---|
| LBN Legal business name | Mallampalli, Antara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Oct 10th, 2014 - about 10 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 | 1992885396 | NPPES |
| Texas | MEDICAID | 158246201 | |
| Texas | MEDICAID | 158246202 |
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