Individual
VENKATA C MALLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 N HOUSTON RD, WARNER ROBINS, GA 31093-2101
(478) 922-4010
Mailing address
101 ROYAL CREST CIR, KATHLEEN, GA 31047-2144
(478) 319-5962
(478) 745-8932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
062252
GA
208M00000X
Hospitalist Physician
062252
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
586433793
—
GA
Enumeration date
12/27/2007
Last updated
09/08/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us