Mary Mallavarapu Md
Pediatrics
Mary Mallavarapu Md is a Pomona, New York based Pediatric center with medical specialization in
General Pediatrics.
It is located at
971 Route 45, Suite 112, Pomona, New York - 10970-3500. They can be contacted on phone at
845-354-8054 and fax number 845-354-1807.
NPI number (Unique professional ID) for Mary Mallavarapu Md is
1669606547 which was assigned by NPPES on 07 May, 2009 and it was last updated on 07 May, 2009.
Mary Mallavarapu Md license number is
121643 for Pediatrics (208000000X) in New York.
Mary Mallavarapu Md is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mary Mallavarapu Md basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mary Mallavarapu Md |
|---|
Business Address:
Mary Mallavarapu Md address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 971 Route 45, Suite 112
Pomona, NY, 10970-3500
United States |
|---|
| Phone Number : | 845-354-8054 |
|---|
| Fax Number : | 845-354-1807 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669606547 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 07 May, 2009 |
|---|
| Last Updated On : | 07 May, 2009 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Anita Soares |
|---|
| Authorized Official Credential : | MBA |
|---|
| Official Title or Position : | OFFICE MANAGER |
|---|
| Phone Number : | 845-354-8054 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Mallavarapu Md are as mentioned. Primary taxonomy code for Mary Mallavarapu Md is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 121643 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Mary Mallavarapu Md such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00515435 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 971 Route 45, Suite 112
Pomona, NY, 10970-3500
United States |
|---|
| Phone Number : | 845-354-8054 |
|---|
| Fax Number : | 845-354-1807 |
|---|
Business Location:
Patients can refer following map for directions to
Mary Mallavarapu Md practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.