Komala Devi Mallampati, MD is a
Physical Medicine & Rehabilitation physician based in Orange, New Jersey. Komala Devi Mallampati is licensed to practice in New Jersey (license number MA41876) and her current practice location is 514 Joyce St, Orange, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 672-2214.
NPI number for Komala Devi Mallampati is 1144200262 and her current mailing address is 514 Joyce St, Orange, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144200262.
Physician's Profile
| Full Name | Komala Devi Mallampati |
|---|
| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 514 Joyce St, Orange, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144200262
- Provider Enumeration Date: 01/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Komala Devi Mallampati such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144200262 | NPI | - | NPPES |
| 6413901 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | MA41876 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Komala Devi Mallampati is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Komala Devi Mallampati, MD
514 Joyce St,
Orange, NJ 07050-1411
Ph: (973) 672-2214 | Komala Devi Mallampati, MD
514 Joyce St,
Orange, NJ 07050-1411
Ph: (973) 672-2214 |
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