Individual
ASHITH MALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3928 WASHINGTON RD STE 220, MC MURRAY, PA 15317-2594
(724) 941-8877
(724) 941-4745
Mailing address
701 TECHNOLOGY DR STE 150, CANONSBURG, PA 15317-9531
(412) 531-2902
(412) 531-2948
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD-053003L
PA
207R00000X
Internal Medicine Physician
Primary
MD053003L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015978240001
—
PA
01
—
110112852
RAILROAD MEDICARE PTAN
—
Enumeration date
02/07/2006
Last updated
07/06/2023
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