Chaitanya Malla MD
Internal Medicine Physician in Grand Rapids, MI(View on Map)
Full Name
Chaitanya Malla MD
NPI Number
1215356522
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/15/2014
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
4301106032
Contact
Information
Purpose
Mailing
Location
Address
100 MICHIGAN ST NE # MC845
100 MICHIGAN ST NE
City
Grand Rapids
Grand Rapids
State
MI
MI
Postal Code
49503-2560
49503-2560
Country
US
US
Telephone Number
N/A
(616) 391-3139
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/18/2017