Individual provider · Type 1 NPI

Mallikarjuna B. Urmundalavaur, MD

Specialist · Defuniak Springs, FL

NPI number 1295759868 Active

Practice location

4415 US Highway 331 S Ste A
Defuniak Springs, FL 32435-6307

Fax (850) 682-8486

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME75135 (FL)

Specialist: 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.

About NPI 1295759868

Mallikarjuna B. Urmundalavaur, MD's National Provider Identifier is 1295759868, issued on Jul 27, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Defuniak Springs, FL. The record was last updated on Jul 9, 2007.