Search › California › 207RG0300X
Mohan Mallam, M.D
NPI 1538161443 · on the registry since 2005 · sole proprietor
Practice
- Address
- 303 E Buena Vista St
Barstow, CA 92311 - Phone
- (760) 256-4601
- Fax
- (760) 256-0310
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207RG0300X
207RG0300X
- Also registered as
- 207R00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-11
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 California