Provider Demographics
NPI:1932281672
Name:MALI & MALI PEDIATRICS PC
Entity Type:Organization
Organization Name:MALI & MALI PEDIATRICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VISHWANATH
Authorized Official - Middle Name:B
Authorized Official - Last Name:MALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-828-3888
Mailing Address - Street 1:44199 DEQUINDRE RD
Mailing Address - Street 2:SUITE 502
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-1128
Mailing Address - Country:US
Mailing Address - Phone:248-828-3888
Mailing Address - Fax:248-828-1952
Practice Address - Street 1:44199 DEQUINDRE RD
Practice Address - Street 2:SUITE 502
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-1128
Practice Address - Country:US
Practice Address - Phone:248-828-3888
Practice Address - Fax:248-828-1952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty