Individual
MALA GHIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 S JACKSON ST, LOUISVILLE, KY 40202-3229
(502) 561-7423
Mailing address
2020 FAIRWAY VISTA DR, LOUISVILLE, KY 40245-6527
(502) 500-5596
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
012808
KY
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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