Mallory Nagarah, D.O

NPI 1740555002 · on the registry since 2012

Practice

Address: 15675 Northline Rd
Southgate, MI 48195
Phone: (734) 282-3600
Fax: (734) 282-3603
Organisation at this address: Wyandotte Medical Practice
Munther Alaiwat, M.D. , P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 207V00000X
207V00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-02-22

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 Michigan