MARY MALLAVARAPU MD – NPI #1124252705
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

MARY MALLAVARAPU MD is a provider located in NEW CITY, NY. NPPES has assigned the NPI number 1124252705 to MARY MALLAVARAPU MD on May 11, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARY MALLAVARAPU MD below.

NPI Profile for
MARY MALLAVARAPU MD

NPI Number
1124252705
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARY MALLAVARAPU MD
Primary location
100 PHILLIPS HILL RD
NEW CITY, NY 10956-4134
Phone: (845) 634-0068 Fax:
Mailing address
971 ROUTE 45
SUITE 112
POMONA, NY 10970-3500
Phone: (845) 354-8054 Fax: (845) 354-1807
Organization Subpart
Yes - MARY MALLAVARAPU MD is subpart of another organization.
Authorized Official
ANITA SOARES
OFFICE MANAGER
Phone: (845) 634-0068
Updated
Identifiers

Identifiers for MARY MALLAVARAPU MD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY00515435
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)		 NY 121643

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.