Provider Demographics
NPI:1306830369
Name:APPACHI, MALA K (MD)
Entity Type:Individual
Prefix:
First Name:MALA
Middle Name:K
Last Name:APPACHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:315 N SAN SABA STE 1003
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3100
Mailing Address - Country:US
Mailing Address - Phone:210-704-4966
Mailing Address - Fax:210-704-4718
Practice Address - Street 1:9819 HUEBNER RD BLDG 2
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3253
Practice Address - Country:US
Practice Address - Phone:210-704-4966
Practice Address - Fax:210-704-4718
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP9509208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0216939Medicaid
OH2258640Medicaid