Individual
DR. SIMON ALEXANDER MALLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1161 21ST AVE S, S2105 MEDICAL CENTER NORTH, VANDERBILT MEDICAL CENTER, NASHVILLE, TN 37232-2582
(615) 322-2035
(615) 343-6160
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
51293
TN
207RI0200X
Infectious Disease Physician
Primary
MD51293
TN
Other
Enumeration date
04/25/2014
Last updated
03/21/2022
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