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1700937158
RAZIYA MALLYA
SAINT LOUIS, MO
NPI
1700937158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO R7932)
Enumeration Date
2007-01-14
Last Update Date
2007-07-08
Business Address
-- RAZIYA MALLYA MD
1129 MACKLIND AVE
SAINT LOUIS, MO 63110-1440
Phone number: 314-534-0200
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Mailing Address
-- RAZIYA MALLYA MD
1129 MACKLIND AVE
SAINT LOUIS, MO 63110-1440
Phone number: 314-534-0200
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