Individual
ANTARA MALLAMPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6567 E CARONDELET STE 215, TUCSON, AZ 85710
(520) 885-1402
(520) 722-5887
Mailing address
6567 E CARONDELET STE 215, TUCSON, AZ 85710
(520) 885-1402
(520) 722-5887
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
42829
AZ
207RP1001X
Pulmonary Disease Physician
42829
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
42829
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158246201
—
TX
05
—
158246202
—
TX
Enumeration date
10/17/2006
Last updated
10/10/2014
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