MEDICARE: MALA K APPACHI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	P9509	TX

General Provider Information

NPI Number	:	1306830369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALA K APPACHI MD

Provider Business Mailing Address
First Line	:	315 N SAN SABA STE 1003
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-3100
Country	:	US
Telephone Number	:	210-704-4966
Fax Number	:	210-704-4718

Provider Business Practice Location Address
First Line	:	9819 HUEBNER RD BLDG 2
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-3253
Country	:	US
Telephone Number	:	210-704-4966
Fax Number	:	210-704-4718

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	05/28/2019

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Directions to “ MALA K APPACHI MD” Practice Location

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