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1053422204
MALLALAH SHIVA
SAN ANTONIO, TX
NPI
1053422204
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Professional Name
PROFESSIONAL ASSOCIATES
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX G2619)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. MALLALAH SHIVA MD
14094 O'CONNOR RD
SAN ANTONIO, TX 78247
Phone number: 210-599-2273
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Mailing Address
Dr. MALLALAH SHIVA MD
14094 O'CONNOR RD
SAN ANTONIO, TX 78247
Phone number: 210-599-2273
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