Active NPIIndividual provider

Sobha Malla, RD, CSR

Dietitian, Registered, Nutrition, Renal in Randolph, New Jersey

NPI Number1801286240
Practice location
121 Center Grove RD, Randolph, NJ 07869-4453
Fax
—
Last updated
November 16, 2023

Sobha Malla is a Dietitian, Registered, Nutrition, Renal based in Randolph, NJ. Sobha Malla practices in Randolph, NJ and has the professional credentials of RD, CSR. The NPI Number for Sobha Malla is 1801286240 and holds a License No. 931194 (NJ). The current practice location address for Sobha Malla is 121 Center Grove RD, Randolph, NJ 07869-4453 and can be reached out via phone at 315-834-2382.

Provider Profile Details

NPI Number
1801286240
Provider Name
Sobha Malla
Credential
RD, CSR
Provider Entity Type
Individual
Gender
Female
Address
121 Center Grove RD, Randolph, NJ 07869-4453
Phone Number
315-834-2382
Primary Taxonomy
Dietitian, Registered, Nutrition, Renal · 133VN1005X
Sole Proprietor
No
Provider Enumeration Date
January 23, 2015
Last Update Date
November 16, 2023
Certification Date
November 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 Center Grove RD
Randolph, NJ 07869-4453
Zip
07869-4453
Phone Number
315-834-2382
Randolph, NJ 07869Get directions →

Provider Business Mailing Address Details

Address
121 Center Grove RD
Randolph, NJ 07869-4453
City
Randolph
State
NJ
Zip
07869-4453
Phone Number
510-792-2652

License Information

License Number
931194
License State
NJ
Taxonomy
Dietitian, Registered, Nutrition, Renal · 133VN1005X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sobha Malla, RD, CSR?

The NPI number of Sobha Malla, RD, CSR is 1801286240. It was assigned on January 23, 2015 and is currently active in the NPPES registry.

What is the specialty of Sobha Malla, RD, CSR?

Sobha Malla, RD, CSR is registered under the primary taxonomy Dietitian, Registered, Nutrition, Renal (code 133VN1005X), licensed in NJ under license number 931194.

Where does Sobha Malla, RD, CSR practice?

The practice location is 121 Center Grove RD, Randolph, NJ 07869-4453. The office can be reached at 315-834-2382 (phone).

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 1801286240 directly on the NPPES registry website.

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