Individual
ULLAL L MALLYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14193 DAY FARM RD, GLENELG, MD 21737-9515
(410) 489-4882
(410) 871-6808
Mailing address
14193 DAY FARM RD, GLENELG, MD 21737-9515
(410) 489-4882
(410) 871-6808
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0016247
MD
Other
Enumeration date
01/22/2007
Last updated
10/04/2011
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