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

Maram Mallisho, MD

Individual provider Internal Medicine Physician · NPI 1295093128

Maram Mallisho, MD is a Hospitalist in Germantown, Tennessee. Qualified in 2002, 24 years ago. Practices with Galen Inpatient Physicians PC, a 1,031-clinician group and accepts Medicare assignment. Licensed in Indiana and Tennessee.

Years since qualifying
24
Licensed in
IN, TN
In the registry since
2012
Specialties on file
2
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

7691 Poplar Ave
Germantown, TN 38138-3904
Phone: (901) 516-1290
Fax: (901) 516-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 52977 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01075712A (IN)

Record details

NPI number1295093128
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2012
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Galen Inpatient Physicians Pc — 1031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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