Individual
SRINIVASARAO MALYALA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3102 WABASH AVE, TERRE HAUTE, IN 47803-1518
(812) 234-8261
(812) 234-8262
Mailing address
2901 OHIO BLVD, SUITE 127, TERRE HAUTE, IN 47803-2239
(812) 234-8261
(812) 234-8262
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01031686
IN
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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