Individual
SAMYUKTA MALLADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1500
(413) 794-0000
Mailing address
221 TRUMBULL ST APT 3001, HARTFORD, CT 06103-1528
(847) 208-5800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
288350
MA
Other
Enumeration date
08/01/2017
Last updated
01/06/2022
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