Individual
DR. MALICA DEEPTI MANTRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6285 S HIGLEY RD, GILBERT, AZ 85298-4262
(480) 460-4949
(480) 460-5858
Mailing address
6285 S HIGLEY RD, GILBERT, AZ 85298-4262
(480) 460-4949
(480) 460-5858
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
59057
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2016
Last updated
05/18/2026
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