Mallam, Divya
Mallam, Divya is an individual health care provider with primary practice located at 11480 Brookshire Ave Ste 204 , Downey CA 90241-5023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Mallam, Divya can be contacted via phone (562) 904-4445.Contact Information
Primary practice address
11480 Brookshire Ave Ste 204
Downey CA 90241-5023
Phone: (562) 904-4445
Fax: (562) 904-4441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A123488 | California |
Profile Details
| NPI number | 1437437613 |
|---|---|
| LBN Legal business name | Mallam, Divya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2011 |
| Last updated | Oct 19th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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