Search › New York › 207RG0100X
Divya Mallam, MD
NPI 1437437613 · on the registry since 2011
Practice
- Address
- 80 Maiden Ln Rm 1204
New York, NY 10038 - Phone
- (212) 427-8761
- Fax
- (212) 427-8762
- Organisation at this address
- Walgreen Co
Taz Footcare, Pc
Christine Palaski
Project Ohr, Inc.
Downtown Primary Care LlpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 50
Additional practice sites
- 855 N Westhaven Dr, Oshkosh, WI
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207RG0100X
207RG0100X - Licence states on file
- CA, WI, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York