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Prashanth A Mally, MD
Pain Medicine (Anesthesiology) Physician in Fairfax, Virginia
NPI 1669649729

Prashanth A Mally is a Pain Medicine (Anesthesiology) Physician based in Rockville, VA and is specialized in Pain Medicine. Prashanth A Mally practices in Fairfax, VA and has the professional credentials of MD. The NPI Number for Prashanth A Mally is 1669649729 and holds a License No. 101244719 (Virginia).

The current practice location address for Prashanth A Mally is 12255 Fair Lakes Pkwy, Fairfax, VA and can be reached out via phone at 703-934-5700.

Location: 12255 Fair Lakes Pkwy, Fairfax, VA, 20852-4908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669649729
Provider Name
Prashanth A Mally
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12255 Fair Lakes Pkwy, Fairfax, VA, 20852-4908
Phone Number
703-934-5700
Fax Number
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12255 Fair Lakes Pkwy
City
Fairfax
State
Virginia
Zip
22033-3952
Phone Number
703-934-5700
Fax Number
person
Provider Business Mailing Address Details
Address
12255 Fair Lakes Pkwy
City
Fairfax
State
Virginia
Zip
22033-3952
Phone Number
703-934-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Pain Medicine
Taxonomy
207LP2900X
License No.
101244719 (Virginia)
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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