Provider Demographics
NPI:1831154285
Name:MALLY, AMARJITH NITTE (MD)
Entity type:Individual
Prefix:DR
First Name:AMARJITH
Middle Name:NITTE
Last Name:MALLY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 640631
Mailing Address - Street 2:EMERGENCY MEDICINE OF WASHINGTON HOSPITAL
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15264-0631
Mailing Address - Country:US
Mailing Address - Phone:610-668-6491
Mailing Address - Fax:610-617-6280
Practice Address - Street 1:155 WILSON AVENUE
Practice Address - Street 2:THE WASHINGTON HOSPITAL
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301
Practice Address - Country:US
Practice Address - Phone:724-223-3342
Practice Address - Fax:610-617-6280
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD047120L207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA892788Medicare ID - Type Unspecified
G35688Medicare UPIN