Organization
NAVIN MALLAVARAM, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVIN MALLAVARAM M.D. (PRESIDENT)
(925) 469-9120
Entity
Organization
Contact information
Practice address
5924 STONERIDGE DR, SUITE 206, PLEASANTON, CA 94588-2887
(925) 469-9120
Mailing address
5924 STONERIDGE DR, SUITE 206, PLEASANTON, CA 94588-2887
(925) 469-9120
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
A104871
CA
Other
Enumeration date
10/31/2011
Last updated
12/11/2013
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