Individual
CHINDO BALA MALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 242-3125
Mailing address
1739 N 4TH ST, TERRE HAUTE, IN 47804-4002
(812) 242-3125
(812) 242-3446
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01089078A
IN
Other
Enumeration date
07/08/2018
Last updated
10/01/2024
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