Pooja Mally in Duluth - Ophthalmic Plastic And Reconstructive Surgery
Pooja Mally - NPI 1881856813
Pooja Mally is a Ophthalmic Plastic And Reconstructive Surgery in Duluth, Georgia. Pooja Mally practices all healthcare services and medical treatments related to Ophthalmic Plastic And Reconstructive Surgery. The NPI Number for Pooja Mally is 1881856813. The last update date is 2023-01-17.
Pooja Mally's current location address is 11080 Medlock Bridge Rd, Duluth, Georgia. You can contact this provider via phone number 4049534023. The mailing address for Pooja Mally is 11080 Medlock Bridge Rd, Duluth, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pooja Mally |
|---|---|
| Address | 11080 Medlock Bridge Rd, Duluth, Georgia |
| Phone Number | 4049534023 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881856813 |
|---|---|
| Provider Enumeration Date | 2008-07-01 |
| Last Updated Date | 2023-01-17 |
Provider Mailing Address Detail
| Address | 11080 Medlock Bridge Rd |
|---|---|
| City | Duluth |
| State | Georgia (GA) |
| Post Code | 30097 |
| Phone Number | 4049534023 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmic Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 207Wx0200X |
| Licence No | 81690 |
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Definition: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and la |
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What is the unique provider identifier assigned to Pooja Mally?
The Pooja Mally has been issued the NPI (National Provider Identifier) 1881856813 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Pooja Mally is physically located?
The Pooja Mally is situated at the following address: 11080 Medlock Bridge Rd, Duluth, GA 30097.
What is Pooja Mally's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pooja Mally is Ophthalmic Plastic And Reconstructive Surgery, and the taxonomy code that categorizes this field of expertise is 207Wx0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1881856813 to Pooja Mally?
The Centers for Medicare & Medicaid Services assigned the 1881856813 to Pooja Mally on 2008-07-01.
When was the information related to Pooja Mally most recently updated or refreshed?
The details pertaining to the Pooja Mally, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-01-17.