Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MOHAN MALLAM, M.D.
Active Sole ProprietorDR. MOHAN MALLAM, M.D. is a Gastroenterology healthcare provider located in BARSTOW, California. NPI 1538161443 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · BARSTOW, CA
Registration Details
- NPI Number
- 1538161443
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2005 (21.045544697703 yrs)
- Last Updated
- Mar 11, 2008
- Licenses
-
A42919 (CA)A42919 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
303 E BUENA VISTA STBARSTOW, CA, 923112803Browse CA providers · Browse ZIP 92311
- Phone
- 7602564601
- Fax
- 7602560310
- Primary Specialty
-
Gastroenterology
207RG0300X
- Additional Specialty
- Gastroenterology
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.