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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANENDRA PRATAP MALLA

Active Sole Proprietor

RANENDRA PRATAP MALLA is a Contractor healthcare provider located in WOODSIDE, New York. NPI 1023581980 is currently active in the NPPES registry. Verify at CMS.

Contractor · WOODSIDE, NY

Registration Details

NPI Number
1023581980
Provider Type
Individual
Gender
Male
NPI Issued
Jan 3, 2019 (7.6389497901984 yrs)
Last Updated
Jan 3, 2019
Sole Proprietor
Yes

Practice Information

Address
3422 57TH ST FL 1
WOODSIDE, NY, 113772124
Browse NY providers · Browse ZIP 11377
Phone
3479656607
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in WOODSIDE, NY

Name Credential NPI
MR. BRYAN WHITMAN SEGALL SCLA, CSAA 1669707881
LATAVIA EVANS 1598102766
MRS. HEATHER N CLARKE MA(ECON), MSC, MSPED 1275975864
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.