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Individual

SANDEEP MALLIPATTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
26 RESEARCH WAY, STONY BROOK INTERNISTS, UFPC, EAST SETAUKET, NY 11733
(631) 444-0580
(631) 444-0562
Mailing address
PO BOX 1554, STONY BROOK, STONY BROOK, NY 11790-0988
(631) 444-0650
(631) 638-4170

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
250660
NY

Other

Enumeration date
06/27/2008
Last updated
07/31/2013
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