Individual
VIKRAM R MALLADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 S ELISEO DR, GREENBRAE, CA 94904-2011
(415) 925-6900
Mailing address
200 TAMAL PLAZA, SUITE 200, CORTE MADERA, CA 94925
(415) 925-6900
(415) 925-6919
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A102626
CA
207RG0100X
Gastroenterology Physician
L7623
TX
Other
Enumeration date
08/04/2006
Last updated
05/04/2021
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