Individual
IRAM J. MALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
1444 WESTERN AVE STE A, ALBANY, NY 12203-3458
(518) 489-2812
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
290494
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2014
Last updated
03/17/2018
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