MALLAREDDY BANALA, MD

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1245080159

Practice Address

7601 SOUTHCREST PKWY
Southaven, MS 38671

Phone: (662) 772-3607

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1245080159 is the National Provider Identifier for MALLAREDDY BANALA, MD, a Student in an Organized Health Care Education/Training Program provider located in Southaven, MS. This NPI was enumerated on March 25, 2024.
MALLAREDDY BANALA, MD practices at 7601 SOUTHCREST PKWY, Southaven, MS 38671.

Quick Facts

NPI
1245080159
Type
Individual
Enumerated
Mar 25, 2024
Last Updated
Mar 25, 2024

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