Thatipelli, Mallik R

Thatipelli, Mallik R is an sole proprietor health care provider with primary practice located at 2808 F St Ste A , Bakersfield CA 93301-1833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Thatipelli, Mallik R can be contacted via phone (661) 873-4216.

Contact Information

Primary practice address
2808 F St Ste A Bakersfield CA 93301-1833
Fax: (661) 829-0600
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X C53592 California

Profile Details

NPI number 1114904166
LBN Legal business name Thatipelli, Mallik R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Jul 21st, 2022 - about 2 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 1114904166 NPPES
California MEDICAID 6474639

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