Dr. Praveena Gopinatha Mallya
DO | Pediatrics | Female
Dr. Praveena Gopinatha Mallya, DO is a Palo Alto, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Praveena Gopinatha Mallya is
795 El Camino Real, Palo Alto, California - 94302-2302. She can be contacted on phone at
650-853-6558.
Dr. Praveena Gopinatha Mallya is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Praveena Gopinatha Mallya is
1922020635 which was assigned by NPPES on 24 Jul, 2006 and it was last updated on 08 Sep, 2016.
Dr. Praveena Gopinatha Mallya license number is
2OA12814 for Pediatrics (208000000X) in California.
Dr. Praveena Gopinatha Mallya 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:
Dr. Praveena Gopinatha Mallya basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Praveena Gopinatha Mallya |
|---|
| Credential : | DO |
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| Gender : | Female |
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Business Address:
Dr. Praveena Gopinatha Mallya 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 : | 795 El Camino Real
Palo Alto, CA, 94302-2302
United States |
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| Phone Number : | 650-853-6558 |
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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 : | 1922020635 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Jul, 2006 |
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| Last Updated On : | 08 Sep, 2016 |
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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 Dr. Praveena Gopinatha Mallya are as mentioned. Primary taxonomy code for Dr. Praveena Gopinatha Mallya, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | OS013741 | PA |
| 208000000X | Pediatrics | Yes | 2OA12814 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Praveena Gopinatha Mallya such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0219525 | MEDICAID | NJ | |
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 : | 2350 W. El Camino Real, 2nd Floor
Mountain View, CA, 94040-6203
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Praveena Gopinatha Mallya practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.