person
Rathna Sree Mallela, MD,MPH
Child & Adolescent Psychiatry Physician in Janesville, Wisconsin
NPI 1194043554

Rathna Sree Mallela is a Child & Adolescent Psychiatry Physician based in Janesville, WI and is specialized in Child & Adolescent Psychiatry. Rathna Sree Mallela practices in Janesville, WI and has the professional credentials of MD,MPH. The NPI Number for Rathna Sree Mallela is 1194043554 and holds a License No. (Wisconsin).

The current practice location address for Rathna Sree Mallela is 2600 Humes Rd Ste 100, Janesville, WI and can be reached out via phone at 608-741-2117 and via fax at 608-758-5761. You can also correspond with Rathna Sree Mallela through the mailing address at 2600 HUMES RD STE 100, JANESVILLE, WI - 53545-0491 (mailing address contact number: 608-741-2117).

Location: 2600 Humes Rd Ste 100, Janesville, WI, 53545-0491
person
Provider Profile Details
NPI Number
1194043554
Provider Name
Rathna Sree Mallela
Credential
MD,MPH
Provider Entity Type
Individual
Gender
Female
Address
2600 Humes Rd Ste 100, Janesville, WI, 53545-0491
Phone Number
608-741-2117
Fax Number
608-758-5761
Provider Enumeration Date
05/11/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K400258434-00084908 01 WI WI MEDICARE
1194043554 01 WI BCBSWI
1194043554 01 WI DEANHEALTH PLAN
1194043554 05 WI
K400258432-000054176 01 WI WI MEDICARE
MALLERAT 01 WI MERCYCARE INSURANCE
institution
Provider Business Practice Location Address Details
Address
2600 Humes Rd Ste 100
City
State
Zip
53545-0491
Phone Number
608-741-2117
Fax Number
608-758-5761
person
Provider Business Mailing Address Details
Address
2600 Humes Rd Ste 100
City
State
Zip
53545-0491
Phone Number
608-741-2117
Fax Number
608-758-5761
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
License No.
64316-20 (Wisconsin)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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