Individual
DR. DIVYA SINGH MALLADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9746 N 90TH PL STE 205, SCOTTSDALE, AZ 85258-5085
(480) 610-6100
Mailing address
2149 E WARNER RD STE 102, TEMPE, AZ 85284-3495
(480) 610-6100
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
47861
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
844781
—
AZ
Enumeration date
10/16/2008
Last updated
11/04/2013
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