Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallareddy Banala, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245080159

Mallareddy Banala, MD is a Student in an Organized Health Care Education/Training Program in Southaven, Mississippi. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone: (662) 772-3607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1245080159
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 24, 2024
Mailing address7601 Southcrest Pkwy, Southaven, MS 38671-4739

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