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Individual

RADMILA MALLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
9892 BUSTLETON AVE STE 101, PHILADELPHIA, PA 19115-2138
(215) 676-2741
(215) 676-2796
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 707-2433

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP010776
PA

Other

Enumeration date
05/07/2010
Last updated
12/04/2025
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