Search › Massachusetts › 207RG0100X
Phani Molakatalla, M.D
NPI 1861620007 · on the registry since 2009 · sole proprietor
Practice
- Address
- 250 Green St
Suite 209
Gardner, MA 01440 - Phone
- (978) 669-5522
- Fax
- (978) 632-0516
- Organisation at this address
- Michael Azzoni, Md
Mercy Family Practice Pc
A. Tariq Malik, Md, Inc.
Tricia Vorderstrasse Md Pc
Gardner Eye Associates IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 42
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207R00000X
390200000X - Licence states on file
- PA, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-07
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 Massachusetts