Mallareddy Banala, MD
NPI #1245080159 in Southaven, Mississippi
Provider Information
- NPI Number
- 1245080159
- Entity Type
- Individual
- Name
- Mallareddy Banala, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- MD
- Enumeration Date
- Mar 25, 2024
- Last Updated
- Mar 25, 2024
Practice Location
- Address
- 7601 SOUTHCREST PKWY
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-4739
- Phone
- (662) 772-3607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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