Individual
DARIENNE MASISHI MADLALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
833 CHESTNUT STREET, 1 ST FLOOR, PHILADELPHIA, PA 19107-4420
(215) 955-6776
(215) 923-1089
Mailing address
833 CHESTNUT STREET, 1 ST FLOOR, PHILADELPHIA, PA 19107-4420
(215) 955-1085
(215) 955-5041
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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