Mallidi, Padmaja V
Mallidi, Padmaja V is an individual health care provider with primary practice located at 2013 Jefferson St Sw Second Floor, Roanoke VA 24014-2419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Mallidi, Padmaja V can be contacted via phone (540) 982-0237.Contact Information
Primary practice address
2013 Jefferson St Sw Second Floor
Roanoke VA 24014-2419
Phone: (540) 982-0237
Fax: (540) 982-0103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 0101234687 | Virginia |
Profile Details
| NPI number | 1629044821 |
|---|---|
| LBN Legal business name | Mallidi, Padmaja V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Nov 2nd, 2007 - about 18 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 | 1629044821 | NPPES |
| Virginia | Other | P00049602 | MEDICARE RAILROAD |
| Virginia | MEDICAID | 5886350 | MEDICARE RAILROAD |
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