Individual
MALLIKA M BHANDARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 NUTT ROAD, PHOENIXVILLE, PA 19460-3906
(610) 983-1166
(610) 983-1612
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8963
(610) 983-1612
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
MD428152
PA
207ZP0101X
Anatomic Pathology Physician
Primary
MD428152
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD428152
PA
Other
Enumeration date
12/27/2006
Last updated
10/22/2012
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