Nagarah, Mallory Christine

Nagarah, Mallory Christine is an individual health care provider with primary practice located at 15675 Northline Rd , Southgate MI 48195-2334. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Nagarah, Mallory Christine can be contacted via phone (734) 282-3600.

Contact Information

Primary practice address
15675 Northline Rd Southgate MI 48195-2334
Phone: (734) 282-3600
Fax: (734) 282-3603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5101019837 Michigan

Profile Details

NPI number 1740555002
LBN Legal business name Nagarah, Mallory Christine
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2012
Last updated Feb 22nd, 2017 - about 8 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 1740555002 NPPES
Michigan Other 0H24657 BLUE CROSS
Michigan Other 1457586646 BLUE CROSS

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