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

Unknown Mallikarjunappa, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093996233

Unknown Mallikarjunappa, MD is a Diagnostic Radiology in Tamuning, Guam. Qualified in 2000, 26 years ago. Practices with Guam Healthcare Development Incorporated, a 209-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Guam.

Years since qualifying
26
Licensed in
GU
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

633 Gov Carlos Camacho Rd Ste 210
Tamuning, GU 96913
Phone: (671) 649-1001

Additional practice locations (1)

  • 9200 West Wisconsin Avenue, Milwaukee, WI 53226 — (414) 805-3122

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence M-1858 (GU)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093996233
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2007
Last updated in NPPESNovember 19, 2019
Mailing address633 Gov Carlos Camacho Road Suite 210, Tamuning, GU 96913

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Guam Healthcare Development Incorporated — 209 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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