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Contact Information

PADMAJA V MALLIDI, MD
2013 JEFFERSON ST SW
SECOND FLOOR
ROANOKE, VA24014-2419
 Phone: 540-982-0237
 Fax: 540-982-0103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PADMAJA V MALLIDI · (Female)

NPI Number 1629044821
Status Active
Credentials MD
Entity Individual
Enumeration date 02/27/2006
Last updated 11/02/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101234687
  • VA Medicaid 5886350
  • VA Other P00049602 MEDICARE RAILROAD
Hospital affiliation(s)
  • AUGUSTA HEALTH - (Acute Care)
    78 MEDICAL CENTER DRIVE
    FISHERSVILLE, VA 22939
  • CARILION ROANOKE MEMORIAL CENTER - (Acute Care)
    1906 BELLEVIEW AVENUE, SE
    ROANOKE, VA 24014
  • CARILION STONEWALL JACKSON HOSPITAL - (Critical Access)
    1 HEALTH CIRCLE
    LEXINGTON, VA 24450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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