Individual
DR. SATYA VENKATA SUBRAMANYAM MALLADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9922 N NEVADA ST, SPOKANE, WA 99218-1126
(509) 747-6194
(509) 838-0824
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60509476
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0341379
LABOR & INDUSTRIES
WA
05
—
2042560
—
WA
Enumeration date
04/19/2007
Last updated
11/29/2022
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