Individual
DR. VENKAT N. MALLEPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2408 DUVAL DR STE 2, MONROE, LA 71201-2986
(318) 388-8561
(318) 388-8564
Mailing address
3302 LAKE DESIARD DR, MONROE, LA 71201-2036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12443R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1536199
—
LA
Enumeration date
08/17/2006
Last updated
07/07/2011
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