Dr MOHAN MALLAM is a male medical professional, specializing in Internal Medicine. He graduated in 1983 from New York Medical College.
303 E BUENA VISTA ST
BARSTOW
CA
923112803
Tel: 7602564601
| Npi | 1538161443 |
| Pac Id | 9234263344 |
| Professional Enrollment Id | I20100811000578 |
| Last Name | MALLAM |
| First Name | MOHAN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | GERIATRIC MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GERIATRIC MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 303 E BUENA VISTA ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BARSTOW |
| State | CA |
| Zip Code | 923112803 |
| Phone Number | 7602564601 |
| Hospital Affiliation Ccn 1 | 050298 |
| Hospital Affiliation Lbn 1 | BARSTOW COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.