Mohan Mallam is a Geriatric Medicine in Barstow, California. Mohan Mallam practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Mohan Mallam is 1538161443. The last update date is 2008-03-11.
Mohan Mallam's current location address is 303 E Buena Vista St, Barstow, California. You can contact this provider via phone number 7602564601 and fax number 7602560310. The mailing address for Mohan Mallam is 303 E Buena Vista St, Barstow, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mohan Mallam |
|---|---|
| Address | 303 E Buena Vista St, Barstow, California |
| Phone Number | 7602564601 |
| Fax Number | 7602560310 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1538161443 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2008-03-11 |
Provider Mailing Address Detail
| Address | 303 E Buena Vista St |
|---|---|
| City | Barstow |
| State | California (CA) |
| Post Code | 923112803 |
| Phone Number | 7602564601 |
| Fax Number | 7602560310 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | A42919 |
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Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A429190 | CA | -- | |
| LAB73093F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mohan Mallam by the Centers for Medicare & Medicaid Services?
The Mohan Mallam has been assigned the NPI (National Provider Identifier) 1538161443 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mohan Mallam?
The Mohan Mallam is situated at 303 E Buena Vista St, in the city of Barstow, state of CA, with the zip code 923112803.
What is the Mohan Mallam's specialty and taxonomy code?
The Mohan Mallam's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Rg0300X.
When was the Mohan Mallam's 1538161443 issued?
The Mohan Mallam's 1538161443 was issued on 2005-08-10.
When was the information regarding Mohan Mallam, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mohan Mallam, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-11.