MALLEPALLI MD A PROFESSIONAL (NPI# 1447374921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447374921 |
| Entity Type | Organization |
| Organization Name | MALLEPALLI MD A PROFESSIONAL |
| Practice Address |
2408 Duval Dr Ste 2 Monroe LA 71201-2986 |
| Practice Telephone | 3183888561 |
| Practice Fax Number | 3183888564 |
| Mailing Telephone | 3183888561 |
| Mailing Fax Number | 3183888564 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | DR. VENKAT N. MALLEPALLI (PRESIDENT) |
| Authorized Official Telephone | 3183888561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
12443R | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1536199 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1602 Royal Ave, Monroe, LA 712015612 | 3183888561 |
| Street Address |
2408 DUVAL DR STE 2 |
| City | MONROE |
| State | LA |
| Zip Code | 71201-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265546527 | Venkat N. Mallepalli | Internal Medicine | 2408 Duval Dr Ste 2, Monroe, LA 71201-2986 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1164041281 | Just Health | Clinic/Center | 400 Saint John St Rm 302, Monroe, LA 71201-7342 | 2020-04-09 |
| 1336651728 | Gregory A. Collier | Clinic/Center | 362 Peters Hollow Rd, Monroe, VA 24574-2789 | 2017-10-25 |
| 1457723421 | Go Care | Clinic/Center | 2214 Beechwood Dr, Monroe, LA 71201-4504 | 2015-10-29 |
| 1811259831 | Ouachita Parish Health Unit | Clinic/Center | 1650 Desiard St, Monroe, LA 71201-7722 | 2012-06-14 |
| 1982857157 | Sea-mar Community Health Center | Clinic/Center | 17707 W Main St, 1st Floor, Monroe, WA 98272-1967 | 2008-10-31 |
| 1477759710 | County of Union | Clinic/Center | 1224 W Roosevelt Blvd, Monroe, NC 28110-2820 | 2007-06-25 |
| 1912121815 | County of Monroe | Clinic/Center | 2353 S Custer Rd, Monroe, MI 48161-5047 | 2007-04-12 |
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| 1881218162 | Just Health | Clinic/Center | 2083 S 2nd St, Jena, LA 71342 | 2020-06-03 |
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| 1831713056 | Just Health | Clinic/Center | 260 Judge Edward Dufresne Parkway, Hahnville, LA 70057 | 2020-06-03 |
| 1205450517 | Just Health | Clinic/Center | 7076 La-3, Benton, LA 71006 | 2020-06-02 |
| 1700400025 | Just Health | Clinic/Center | 11315 Bank St, Clinton, LA 70722 | 2020-06-02 |
| 1265056576 | Just Health | Clinic/Center | 5310 Broad St, Lake Charles, LA 70602 | 2020-06-02 |
| 1194349480 | Just Health | Clinic/Center | 7340 La-26 West, Oberlin, LA 70655 | 2020-06-02 |
| 1699399048 | Just Health | Clinic/Center | 1203 South Fourth St, Leesville, LA 71446 | 2020-06-02 |
| 1861016164 | Just Health | Clinic/Center | 411 Bolivar Bishop Dr, Deridder, LA 70634 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.