Individual
MADHAVI MALLAREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2698 N GALLOWAY AVE, SUITE 104, MESQUITE, TX 75150-6383
(972) 681-4444
(214) 635-3868
Mailing address
2811 DUKE OF GLOUCESTER ST, SUITE 103, DESOTO, TX 75115-2017
(972) 274-5555
(972) 274-5663
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
N3859
TX
Other
Enumeration date
06/29/2007
Last updated
03/15/2012
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