Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIPAKKUMAR PURUSHOTTAM MALLI, MD
Active Sole ProprietorDIPAKKUMAR PURUSHOTTAM MALLI, MD is a Sports Medicine (IM) healthcare provider located in CHERRY HILL, New Jersey. NPI 1265410831 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · CHERRY HILL, NJ
Registration Details
- NPI Number
- 1265410831
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2006 (20.647369172134 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
25MA07352400 (NJ)25MA07352400 (NJ)25MA07352400 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
140 E EVESHAM RDCHERRY HILL, NJ, 080033949Browse NJ providers · Browse ZIP 08003
- Phone
- 8564274477
- Fax
- 8564279199
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Critical Care Medicine
- Additional Specialty
- Sports Medicine (IM)
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.