Mallya, Kiron

Mallya, Kiron is an individual health care provider with primary practice located at 22 S Greene St Pediatrics, N5W56, Baltimore MD 21201-1544. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Mallya, Kiron can be contacted via phone (410) 328-6662.

Contact Information

Primary practice address
22 S Greene St Pediatrics, N5W56 Baltimore MD 21201-1544
Phone: (410) 328-6662
Fax: (410) 328-0646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D72659 Maryland
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X D72659 Maryland

Profile Details

NPI number 1023277670
LBN Legal business name Mallya, Kiron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2008
Last updated Aug 2nd, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023277670 NPPES
Maryland MEDICAID 044129500

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