Individual
MALINI B MADANAHALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 853-5650
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 853-5650
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A63947
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A639470
—
CA
Enumeration date
11/07/2006
Last updated
06/04/2020
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