- Practice location
- 971 Route 45, Suite 112, Pomona, NY 10970-3500
- Phone
- 845-354-8054
- Fax
- 845-354-1807
- Last updated
- May 7, 2009
Mary Mallavarapu MD is a healthcare organization based in Pomona, NY. Mary Mallavarapu MD practices in Pomona, NY. The NPI Number for Mary Mallavarapu MD is 1669606547 and holds a License No. 121643 (NY). The current practice location address for Mary Mallavarapu MD is 971 Route 45, Suite 112, Pomona, NY 10970-3500 and can be reached out via phone at 845-354-8054 and via fax at 845-354-1807.
Provider Profile Details
- NPI Number
- 1669606547
- Provider Name
- Mary Mallavarapu MD
- Provider Entity Type
- Organization
- Address
- 971 Route 45, Suite 112, Pomona, NY 10970-3500
- Phone Number
- 845-354-8054
- Fax Number
- 845-354-1807
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- Yes
- Parent Organization
- Mary Mallavarapu MD
- Authorized Official
- Ms. Anita Soares, MBA · Office Manager · 845-354-8054
- Provider Enumeration Date
- May 7, 2009
- Last Update Date
- May 7, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 971 Route 45
Suite 112
Pomona, NY 10970-3500 - City
- Pomona
- State
- New York
- Zip
- 10970-3500
- Phone Number
- 845-354-8054
- Fax Number
- 845-354-1807
Provider Business Mailing Address Details
- Address
- 971 Route 45
Suite 112
Pomona, NY 10970-3500 - City
- Pomona
- State
- NY
- Zip
- 10970-3500
- Phone Number
- 845-354-8054
- Fax Number
- 845-354-1807
License Information
- License Number
- 121643
- License State
- NY
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Pomona, NY
View all Pediatrics providers in Pomona →Frequently Asked Questions
What is the NPI number of Mary Mallavarapu MD?
The NPI number of Mary Mallavarapu MD is 1669606547. It was assigned on May 7, 2009 and is currently active in the NPPES registry.
What is the specialty of Mary Mallavarapu MD?
Mary Mallavarapu MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 121643.
Where does Mary Mallavarapu MD practice?
The practice location is 971 Route 45, Suite 112, Pomona, NY 10970-3500. The office can be reached at 845-354-8054 (phone) or 845-354-1807 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669606547 directly on the NPPES registry website.