Individual
DR. BHAGWAN REDDY MALLADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
498 N.W. 18TH STREET, RICHMOND STATE HOSPITAL, RICHMOND, IN 47374-2898
(765) 966-0511
(765) 935-9512
Mailing address
1612 PHEASANT RUN, RICHMOND, IN 47374-7906
(765) 935-6730
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01046179
IN
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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