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Individual

SHARAL MALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
540 LINCOLN PARK BLVD, SUITE 100, KETTERING, OH 45429-6401
(937) 299-0900
(937) 297-6303
Mailing address
3614 E SALINAS CIR, DAYTON, OH 45440-3965
(937) 848-6408

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34.006934
OH
2085R0202X
Diagnostic Radiology Physician
Primary
34006934
OH

Other

Enumeration date
07/19/2006
Last updated
04/07/2026
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