PRERANA MALLA

ATLANTA, GA
NPI1508325309
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: GA  104150)
Additional Taxonomies2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: GA  104150)
208000000X Pediatrics
(Licence: TX  T7294)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-19
Last Update Date2025-09-09
Business Address
-- PRERANA MALLA MD
1001 JOHNSON FY RD NE
ATLANTA, GA 30342-1605
Phone number: 404-785-5437
Mailing Address
-- PRERANA MALLA MD
PO BOX 422002
ATLANTA, GA 30342-9002
Phone number: 404-907-4242