Malla, Midhun
Malla, Midhun is an sole proprietor health care provider with primary practice located at 2000 6Th Ave S , Birmingham AL 35233-2110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Malla, Midhun can be contacted via phone (205) 934-9999.Contact Information
Primary practice address
2000 6Th Ave S
Birmingham AL 35233-2110
Phone: (205) 934-9999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 46618 | Alabama |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R74151 | Arizona |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 32219 | Oklahoma |
Profile Details
| NPI number | 1265865968 |
|---|---|
| LBN Legal business name | Malla, Midhun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2013 |
| Last updated | Aug 29th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265865968 | NPPES |
| Arizona | Other | R74151 | TRAINING PERMIT |
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