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Individual

BISHAL MALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
10840 LITTLE PATUXENT PKWY STE 105, COLUMBIA, MD 21044-3254
(410) 730-2028
Mailing address
5205 CHAIRMANS CT, STE 201A, FREDERICK, MD 21703-2918
(240) 629-3939
(240) 629-3940

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R237810
MD

Other

Enumeration date
01/14/2021
Last updated
03/11/2022
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