Mallampati, Komala Devi
Mallampati, Komala Devi is an sole proprietor health care provider with primary practice located at 514 Joyce St , Orange NJ 07050-1411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Mallampati, Komala Devi can be contacted via phone (973) 672-2214.Contact Information
Primary practice address
514 Joyce St
Orange NJ 07050-1411
Phone: (973) 672-2214
Fax: (973) 672-1320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MA41876 | New Jersey |
Profile Details
| NPI number | 1144200262 |
|---|---|
| LBN Legal business name | Mallampati, Komala Devi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1144200262 | NPPES |
| New Jersey | MEDICAID | 6413901 |
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