Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gautham K Mallampati, MD

Individual provider Diagnostic Radiology Physician · NPI 1639159577

Gautham K Mallampati, MD is a Diagnostic Radiology in Bethlehem, Pennsylvania. Graduated from Temple University School of Medicine in 1998, 28 years ago. Practices with Progressive Physician Assoc Inc, a 163-clinician group and accepts Medicare assignment. Licensed in Georgia, New York and Pennsylvania.

Years since qualifying
28
Trained at
Temple University School of Medicine
Licensed in
GA, NY, PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

95 Highland Ave Ste 130
Bethlehem, PA 18017-9424
Phone: (610) 868-1100
Fax: (610) 868-1111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 056193 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD421847 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 241788 (NY)

Record details

NPI number1639159577
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 18, 2006
Last updated in NPPESDecember 11, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Progressive Physician Assoc Inc — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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