Selvaraj, Mylappan
Selvaraj, Mylappan is an sole proprietor health care provider with primary practice located at 777 North St , Pittsfield MA 01201-4147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Selvaraj, Mylappan can be contacted via phone (724) 545-9774.Contact Information
Primary practice address
777 North St
Pittsfield MA 01201-4147
Phone: (724) 545-9774
Fax: (724) 543-2945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD-028840-E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 42361 | Massachusetts |
Profile Details
| NPI number | 1164427183 |
|---|---|
| LBN Legal business name | Selvaraj, Mylappan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Oct 23rd, 2020 - about 4 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 | 1164427183 | NPPES |
| Pennsylvania | Other | SE127889 | BG & BS |
| Pennsylvania | MEDICAID | 01 1091654 | BG & BS |
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