Mallipaddi, Pramod

Mallipaddi, Pramod is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mallipaddi, Pramod can be contacted via phone (217) 383-3311.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2529
Phone: (217) 383-3311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11730 North Dakota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301085525 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036147159 Illinois

Profile Details

NPI number 1083817886
LBN Legal business name Mallipaddi, Pramod
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Mar 4th, 2024 - about 9 months 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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