Individual
BENEDICT MALIAKKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 UNION AVE, SUITE 184, MEMPHIS, TN 38104-3415
(901) 516-9183
(901) 516-8993
Mailing address
PO BOX 1000, DEPT 457, MEMPHIS, TN 38148-0001
(901) 275-3662
(901) 271-0155
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
187710
NY
207RG0100X
Gastroenterology Physician
Primary
54376
TN
207RT0003X
Transplant Hepatology Physician
54376
TN
Other
Enumeration date
06/23/2006
Last updated
08/30/2016
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