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1801485768
BISHAL MALLA
COLUMBIA, MD
NPI
1801485768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R237810)
Enumeration Date
2021-01-14
Last Update Date
2022-03-11
Business Address
BISHAL MALLA FNP
10840 LITTLE PATUXENT PKWY STE 105
COLUMBIA, MD 21044-3254
Phone number: 410-730-2028
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Mailing Address
BISHAL MALLA FNP
5205 CHAIRMANS CT STE 201A
FREDERICK, MD 21703-2918
Phone number: 240-629-3939
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