Mallampati, Gautham K
Mallampati, Gautham K is an individual health care provider with primary practice located at 95 Highland Ave Suite 130, Bethlehem PA 18017-9424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mallampati, Gautham K can be contacted via phone (610) 868-1100.Contact Information
Primary practice address
95 Highland Ave Suite 130
Bethlehem PA 18017-9424
Phone: (610) 868-1100
Fax: (610) 868-1111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 056193 | Georgia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD421847 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 241788 | New York |
Profile Details
| NPI number | 1639159577 |
|---|---|
| LBN Legal business name | Mallampati, Gautham K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Dec 11th, 2015 - about 9 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 | 1639159577 | NPPES |
| Georgia | MEDICAID | 655000446 |
Popular Providers
-
Woodruff, William W
95 Highland Ave Suite 130, Bethlehem PA 18017-9424 -
Trend, Christopher David
425 Brighton St #303, Bethlehem PA 18015-1273 -
Friedenberg, Steven S
5325 Northgate Dr Suite 100, Bethlehem PA 18017-9411 -
Riccardi, Jay Scott
425 Brighton St #303, Bethlehem PA 18015-1273 -
Pollack, Stuart N.
801 Ostrum St , Bethlehem PA 18015 -
Russo, Joseph Patrick
95 Highland Ave Ste 130 , Bethlehem PA 18017-9483 -
Rothman, Michael Ian
870 Wafford Lane , Bethlehem PA 18017-3876 -
Mandelker, Eiran Moses
2775 Schoenersville Rd , Bethlehem PA 18017-7307