Mallikarjun, Chaithanya
Mallikarjun, Chaithanya is an sole proprietor health care provider with primary practice located at 19284 Stone Oak Pkwy 104, San Antonio TX 78258-3473. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Mallikarjun, Chaithanya can be contacted via phone (210) 268-0124.Contact Information
Primary practice address
19284 Stone Oak Pkwy 104
San Antonio TX 78258-3473
Phone: (210) 268-0124
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | MD.201765 | Louisiana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | P9220 | Texas |
Profile Details
| NPI number | 1114101904 |
|---|---|
| LBN Legal business name | Mallikarjun, Chaithanya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2007 |
| Last updated | Nov 20th, 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 | 1114101904 | NPPES |
| Louisiana | MEDICAID | 1027324 |
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