Individual
SRIKANTH MALLADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2490 S WOODWORTH LOOP STE 250, PALMER, AK 99645-7407
(907) 861-6700
(907) 861-6712
Mailing address
2490 S WOODWORTH LOOP STE 250, PALMER, AK 99645-7407
(907) 861-6700
(907) 861-6712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
180637
AK
208000000X
Pediatrics Physician
180637
AK
Other
Enumeration date
07/26/2018
Last updated
03/05/2024
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