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
Phone: (661) 873-4216
Fax: (661) 829-0600
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114904166 | NPPES |
| California | MEDICAID | 6474639 |
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