Organization
MYLAPPAN SELVARAJ, M.D.
Active
Other names
Mylappan Selvaraj, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN HILDERBRAND (OFFICE MANAGER)
(724) 545-9774
Entity
Organization
Contact information
Practice address
600 MEDICAL ARTS BLDG STE 670, KITTANNING, PA 16201-7110
(724) 545-9766
(724) 543-2945
Mailing address
600 MEDICAL ARTS BLDG STE 670, KITTANNING, PA 16201-7110
(724) 545-9766
(724) 543-2945
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
028840E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091654
—
PA
Enumeration date
12/06/2013
Last updated
12/06/2013
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