Provider Demographics
NPI:1811929342
Name:MLAPAH, THEODORE K (MD)
Entity type:Individual
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First Name:THEODORE
Middle Name:K
Last Name:MLAPAH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:289 TANGLEWOOD DR
Mailing Address - Street 2:APT# 5
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1652
Mailing Address - Country:US
Mailing Address - Phone:413-205-9702
Mailing Address - Fax:413-540-5055
Practice Address - Street 1:575 BEECH STREET
Practice Address - Street 2:HOLYOKE MEDICAL CENTER
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040
Practice Address - Country:US
Practice Address - Phone:413-534-2500
Practice Address - Fax:413-540-5055
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2017-02-24
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Provider Licenses
StateLicense IDTaxonomies
MA229246207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine