Dr. Mohan Mallam, MD
Dr. Mohan Mallam, MD is an Internal Medicine Physician in Barstow, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
303 E Buena Vista StBarstow, CA 92311-2803
Phone: (760) 256-4601
Fax: (760) 256-0310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RG0300X · Licence A42919 (CA) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence A42919 (CA) |
Record details
| NPI number | 1538161443 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | August 10, 2005 |
| Last updated in NPPES | March 11, 2008 |
| Mailing address | 303 E Buena Vista St, Barstow, CA 92311-2803 |
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