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MALATHI VISWANATHAN ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6750 N MACARTHUR BLVD, STE 206, IRVING, TX 75039-2875
(972) 406-9911
(972) 406-9930
Mailing address
6750 N MACARTHUR BLVD, STE 206, IRVING, TX 75039-2875
(972) 406-9911
(972) 406-9930

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M1655
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1861509275
NPI
TX
01
1942526991
NPI-GROUP
TX
01
TXB127985
MEDICARE GROUP NUMBER
TX
Enumeration date
08/23/2006
Last updated
08/23/2011
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