Provider Demographics
NPI:1740583566
Name:MAYSOFT, LLC
Entity Type:Organization
Organization Name:MAYSOFT, LLC
Other - Org Name:NIRIKSHA MALLADI, MD
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIRIKSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALLADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-405-5680
Mailing Address - Street 1:1597 25TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-2623
Mailing Address - Country:US
Mailing Address - Phone:425-405-5680
Mailing Address - Fax:
Practice Address - Street 1:155 NE 100TH ST
Practice Address - Street 2:STE 402
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-8012
Practice Address - Country:US
Practice Address - Phone:425-405-5680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000490492081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty