Mallavaram, Navin A

Mallavaram, Navin A is an individual health care provider with primary practice located at 5924 Stoneridge Dr Suite 206, Pleasanton CA 94588-2887. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Mallavaram, Navin A can be contacted via phone (925) 469-9120.

Contact Information

Primary practice address
5924 Stoneridge Dr Suite 206 Pleasanton CA 94588-2887
Phone: (925) 469-9120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 245250 New York
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 104871 California
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X A104871 California

Profile Details

NPI number 1962677724
LBN Legal business name Mallavaram, Navin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Mar 15th, 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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