Individual
DR. MALLIK R THATIPELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2808 F ST STE A, BAKERSFIELD, CA 93301-1833
(661) 873-4216
(661) 829-0600
Mailing address
412 WATERVIEW LN NW, ROCHESTER, MN 55901-8485
(614) 218-1012
(952) 487-5935
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C53592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6474639
—
CA
Enumeration date
12/29/2005
Last updated
07/21/2022
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