Individual
DEEPA MALINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
MMG - CO-OP CITY, 2100 BARTOW AVENUE, BRONX, NY 10475
(718) 320-5300
Mailing address
2001 MARCUS AVE, STE E249, NEW HYDE PARK, NY 11042-1000
(718) 320-5300
(718) 320-1116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
236954
NY
Other
Enumeration date
10/02/2006
Last updated
01/18/2019
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