Organization
PREETI MALLADI, M.D. P.A.
Active
Other names
Malladi Bariatrics and Advanced Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY BOWEN (OFFICE MANAGER)
(214) 242-9737
Entity
Organization
Contact information
Practice address
221 W COLORADO BLVD, PAVILION II, SUITE 532, DALLAS, TX 75208-2363
(214) 242-9737
(214) 242-9946
Mailing address
221 W COLORADO BLVD, PAVILION II, SUITE 532, DALLAS, TX 75208-2363
(214) 242-9737
(214) 242-9946
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N3858
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311839001
—
TX
Enumeration date
05/22/2012
Last updated
09/16/2013
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