Selvaraju, Mallika

Selvaraju, Mallika is an individual health care provider with primary practice located at 1336 Creekside Blvd. Suite 1, Naples FL 34108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Selvaraju, Mallika can be contacted via phone (239) 261-1158.

Contact Information

Primary practice address
1336 Creekside Blvd. Suite 1 Naples FL 34108
Phone: (239) 261-1158
Fax: (239) 261-4232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2163362 Florida

Profile Details

NPI number 1699733923
LBN Legal business name Selvaraju, Mallika
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Nov 21st, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699733923 NPPES
Florida Other G3242 BLUE CROSS BLUE SHIELD
Florida MEDICAID 305380600 BLUE CROSS BLUE SHIELD

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