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

Raju Malla

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477116176

Raju Malla is a Physician Assistant in Schenectady, New York. Qualified in 2019, 7 years ago. Practices with Upstate Dermatology, PC, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

461 Clinton St Ext # 1
Schenectady, NY 12305-2425
Phone: (518) 374-7222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 532 N Central Ave Apt 7, Minoa, NY 13116-1458 — (443) 682-4902

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C07538 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477116176
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2019
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022
Mailing address2a Red Maple Ln, Halfmoon, NY 12065-6340

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Upstate Dermatology, Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Schenectady