GIRIDHAR MALLYA

PHILADELPHIA, PA
NPI1013949668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  MD427990)
Enumeration Date2006-07-06
Last Update Date2011-03-10
Business Address
-- GIRIDHAR MALLYA MD
51 N 39TH ST
PHILADELPHIA, PA 19104-2640
Phone number: 215-662-8777
Mailing Address
-- GIRIDHAR MALLYA MD
51 N 39TH ST
PHILADELPHIA, PA 19104-2640
Phone number: 215-662-8777