Individual
DR. NAGAMALLIKA JASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 350-3565
Mailing address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 350-3565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D70957
MD
Other
Enumeration date
12/03/2007
Last updated
11/22/2019
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