Individual
PRERANA MALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(404) 785-5437
Mailing address
PO BOX 422002, ATLANTA, GA 30342-9002
(404) 907-4242
(404) 842-3479
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
104150
GA
208000000X
Pediatrics Physician
T7294
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
104150
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
09/09/2025
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