Individual
DR. PREETI MALLADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
221 W COLORADO BLVD STE 829, DALLAS, TX 75208-2366
(214) 242-9737
(214) 242-9946
Mailing address
221 W COLORADO BLVD STE 829, DALLAS, TX 75208-2366
(214) 242-9737
(214) 242-9946
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.120779
IL
208600000X
Surgery Physician
A83258
CA
208600000X
Surgery Physician
Primary
N3858
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206421401
—
TX
Enumeration date
02/20/2008
Last updated
08/14/2023
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