Individual
DR. ANANTHA KRISHNA MALLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8901 WISCONSIN AVE, DEPARTMENT OF CRITICAL CARE MEDICINE, BETHESDA, MD 20889-0004
(301) 400-0014
Mailing address
8901 WISCONSIN AVE, BLDG 9A, 3RD FLOOR, ROOM 3350, BETHESDA, MD 20889-0004
(815) 985-6836
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102203920
VA
207P00000X
Emergency Medicine Physician
Primary
M8156
TX
Other
Enumeration date
11/22/2006
Last updated
10/25/2022
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