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Individual

DR. RAJITHA MALLELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MBBS

Contact information

Practice address
295 ESSJAY ROAD, BUFFALO MEDICAL GROUP, WILLIAMSVILLE, NY 14221-8216
(716) 857-8749
(716) 250-5965
Mailing address
49 BRANTLEY CT, GETZVILLE, NY 14068-1547
(716) 510-0615

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
254835
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03258188
NY
Enumeration date
07/26/2010
Last updated
10/08/2010
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