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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | ME75135 (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.