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Dr. Padmaja V Mallidi, MD
Hematology & Oncology Physician in Roanoke, Virginia
NPI 1629044821

Padmaja V Mallidi is a Hematology & Oncology Physician based in Roanoke, VA and is specialized in Hematology & Oncology. Padmaja V Mallidi practices in Roanoke, VA and has the professional credentials of MD. The NPI Number for Padmaja V Mallidi is 1629044821 and holds a License No. 0101234687 (Virginia).

The current practice location address for Padmaja V Mallidi is 2013 Jefferson St Sw, Roanoke, VA and can be reached out via phone at 540-982-0237 and via fax at 540-982-0103.

Location: 2013 Jefferson St Sw, Roanoke, VA, 24014-2419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629044821
Provider Name
Padmaja V Mallidi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2013 Jefferson St Sw, Roanoke, VA, 24014-2419
Phone Number
540-982-0237
Fax Number
540-982-0103
Provider Enumeration Date
02/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00049602 01 VA MEDICARE RAILROAD
5886350 05 VA
institution
Provider Business Practice Location Address Details
Address
2013 Jefferson St Sw
City
Roanoke
State
Virginia
Zip
24014-2419
Phone Number
540-982-0237
Fax Number
540-982-0103
person
Provider Business Mailing Address Details
Address
2013 Jefferson St Sw
City
Roanoke
State
Virginia
Zip
24014-2419
Phone Number
540-982-0237
Fax Number
540-982-0103
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
0101234687 (Virginia)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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