Bhoosa Malliah, MD. PA
Internal Medicine, Adolescent Medicine in Bricktown, New Jersey
1639145436- Practice location
- 222 Jack Martin Blvd, Suite. E,, Bricktown, NJ 08724-7772
- Phone
- 732-840-8688
- Fax
- 732-840-8480
- Last updated
- September 20, 2007
Bhoosa Malliah, MD. PA is a healthcare organization based in Bricktown, NJ. Bhoosa Malliah, MD. PA practices in Bricktown, NJ. The NPI Number for Bhoosa Malliah, MD. PA is 1639145436. The current practice location address for Bhoosa Malliah, MD. PA is 222 Jack Martin Blvd, Suite. E,, Bricktown, NJ 08724-7772 and can be reached out via phone at 732-840-8688 and via fax at 732-840-8480.
Provider Profile Details
- NPI Number
- 1639145436
- Provider Name
- Bhoosa Malliah, MD. PA
- Provider Entity Type
- Organization
- Address
- 222 Jack Martin Blvd, Suite. E,, Bricktown, NJ 08724-7772
- Phone Number
- 732-840-8688
- Fax Number
- 732-840-8480
- Primary Taxonomy
- Internal Medicine, Adolescent Medicine · 207RA0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Bhoosa Malliah, MD · Physician · 732-840-8688
- Other Names
- Bhoosamalliah,md (Doing Business As)
- Provider Enumeration Date
- February 23, 2006
- Last Update Date
- September 20, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 222 Jack Martin Blvd
Suite. E,
Bricktown, NJ 08724-7772 - City
- Bricktown
- State
- New Jersey
- Zip
- 08724-7772
- Phone Number
- 732-840-8688
- Fax Number
- 732-840-8480
Provider Business Mailing Address Details
- Address
- 222 Jack Martin Blvd
Suite. E,
Bricktown, NJ 08724-7772 - City
- Bricktown
- State
- NJ
- Zip
- 08724-7772
- Phone Number
- 732-840-8688
- Fax Number
- 732-840-8480
License Information
- Taxonomy
- Internal Medicine, Adolescent Medicine · 207RA0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Adolescent Medicine providers near Bricktown, NJ
View all Internal Medicine, Adolescent Medicine providers in Bricktown →Frequently Asked Questions
What is the NPI number of Bhoosa Malliah, MD. PA?
The NPI number of Bhoosa Malliah, MD. PA is 1639145436. It was assigned on February 23, 2006 and is currently active in the NPPES registry.
What is the specialty of Bhoosa Malliah, MD. PA?
Bhoosa Malliah, MD. PA is registered under the primary taxonomy Internal Medicine, Adolescent Medicine (code 207RA0000X).
Where does Bhoosa Malliah, MD. PA practice?
The practice location is 222 Jack Martin Blvd, Suite. E,, Bricktown, NJ 08724-7772. The office can be reached at 732-840-8688 (phone) or 732-840-8480 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639145436 directly on the NPPES registry website.