Mallikarjuna B Urmundalavaur in Defuniak Springs - Specialist
Mallikarjuna B Urmundalavaur - NPI 1295759868
Mallikarjuna B Urmundalavaur is a Specialist in Defuniak Springs, Florida. Mallikarjuna B Urmundalavaur practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mallikarjuna B Urmundalavaur is 1295759868. The last update date is 2007-07-09.
Mallikarjuna B Urmundalavaur's current location address is 4415 Us Highway 331 S Ste A, Defuniak Springs, Florida. You can contact this provider via phone number 8506825332 and fax number 8506828486. The mailing address for Mallikarjuna B Urmundalavaur is 4415 Us Highway 331 S Ste A, Defuniak Springs, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mallikarjuna B Urmundalavaur |
|---|---|
| Address | 4415 Us Highway 331 S Ste A, Defuniak Springs, Florida |
| Phone Number | 8506825332 |
| Fax Number | 8506828486 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295759868 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4415 Us Highway 331 S Ste A |
|---|---|
| City | Defuniak Springs |
| State | Florida (FL) |
| Post Code | 324356307 |
| Phone Number | 8506825332 |
| Fax Number | 8506828486 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME75135 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34078 | FL | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Mallikarjuna B Urmundalavaur by the Centers for Medicare & Medicaid Services?
The Mallikarjuna B Urmundalavaur has been assigned the NPI (National Provider Identifier) 1295759868 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mallikarjuna B Urmundalavaur is located?
The Mallikarjuna B Urmundalavaur is situated at the following address: 4415 Us Highway 331 S Ste A, Defuniak Springs, FL, 324356307.
What is Mallikarjuna B Urmundalavaur's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mallikarjuna B Urmundalavaur is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When did the Mallikarjuna B Urmundalavaur receive its 1295759868?
The Mallikarjuna B Urmundalavaur was issued its 1295759868 on 2006-07-27, which is the date when the organization was assigned this unique identifier.
When was the Mallikarjuna B Urmundalavaur's information last updated?
The Mallikarjuna B Urmundalavaur's information was last updated on 2007-07-09.