MALLAREDDY BANALA

SOUTHAVEN, MS
NPI1245080159
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-25
Last Update Date2024-03-25
Business Address
MALLAREDDY BANALA MD
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671-4739
Phone number: 662-772-3607
Mailing Address
MALLAREDDY BANALA MD
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671-4739
Phone number: 662-772-3607
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