CHAITANYA MALLA

GRAND RAPIDS, MI
NPI1215356522
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301106032)
Enumeration Date2014-04-15
Last Update Date2017-09-18
Business Address
-- CHAITANYA MALLA MD
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3139
Mailing Address
-- CHAITANYA MALLA MD
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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