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Individual

DR. KIRAN MALLULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6411 FANNIN ST DEPT OF, HOUSTON, TX 77030-1501
(832) 914-2047
Mailing address
6411 FANNIN ST DEPT OF, HOUSTON, TX 77030-1501
(832) 914-2047

Taxonomy

Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
T0281
TX
208000000X
Pediatrics Physician
MT190224
PA
2080P0202X
Pediatric Cardiology Physician
036125228
IL
2080P0202X
Pediatric Cardiology Physician
MD.206979
LA
2080P0202X
Pediatric Cardiology Physician
Primary
T0281
TX

Other

Enumeration date
07/14/2007
Last updated
10/29/2024
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