Healthcare Provider Details

I. General information

NPI: 1487598595
Provider Name (Legal Business Name): MALA GARRITY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 W 146TH ST STE B
CARMEL IN
46032-1118
US

IV. Provider business mailing address

2230 STAFFORD RD STE 115
PLAINFIELD IN
46168-2790
US

V. Phone/Fax

Practice location:
  • Phone: 317-819-0772
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number02002818A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: