Individual
SUBBARAO V. MYLAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
351 HOSPITAL RD, SUITE 610, NEWPORT BEACH, CA 92663-3509
(949) 722-2411
(949) 650-4966
Mailing address
351 HOSPITAL RD, SUITE 610, NEWPORT BEACH, CA 92663-3509
(949) 722-2411
(949) 650-4966
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A044935
CA
207RI0011X
Interventional Cardiology Physician
A044935
CA
Other
Enumeration date
03/17/2006
Last updated
11/30/2007
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