Individual
VIJETHA VINOD MALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-7337
(901) 287-6042
Mailing address
850 POPLAR AVE BLDG 2, MEMPHIS, TN 38105-4607
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
57894
TN
Other
Enumeration date
08/25/2014
Last updated
12/03/2018
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