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Individual

DR. KATHY MAHALATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3331 TOLEDOTERRACE STE 205, HYATTSVILLE, MD 20782
(301) 853-2533
(410) 669-6067
Mailing address
15752 CHERRY BLOSSOM LANE, GALTHERSBURG, MD 20878
(410) 913-2507
(410) 669-6067

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0054561
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1M41K
BLUE CROSS
MD
01
F895001
BLUE CHOICE
MD
Enumeration date
09/29/2006
Last updated
07/08/2007
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