DR. MITALI MALI (NPI# 1619438439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619438439 |
| Entity Type | Individual |
| Full Name | DR. MITALI MALI |
| Credential | DO |
| Practice Address |
380 Hospital Dr Ste 430 Macon GA 31217-8017 |
| Mailing Address |
759 Chestnut St Springfield MA 01199-0001 |
| Practice Telephone | 4787510367 |
| Mailing Telephone | 4137940000 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
380 HOSPITAL DR STE 430 |
| City | MACON |
| State | GA |
| Zip Code | 31217-8017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871024802 | Timothy Allen Podesta | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Ste 430, Macon, GA 31217-8017 | 2017-03-22 |
| 1841819299 | Jennifer Boatwright | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Ste 430, Macon, GA 31217-8017 | 2020-04-15 |
| 1972132660 | Chibuzor Chika Ejike | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Ste 430, Macon, GA 31217-8017 | 2020-04-03 |
| 1689202632 | Grayson Weaver Baum | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Ste 430, Macon, GA 31217-8017 | 2020-03-27 |
| 1285261354 | Cameron Lucitt | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Ste 430, Macon, GA 31217-8017 | 2020-03-26 |
| 1124655170 | Abdul Ansari | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Ste 430, Macon, GA 31217-8017 | 2020-03-26 |
| 1578190070 | Jenna Saxton | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Ste 430, Macon, GA 31217-8017 | 2020-03-25 |
| 1962039230 | Gande Li | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Ste 430, Macon, GA 31217-8017 | 2020-03-25 |
| 1447887120 | Chisom Mogbo | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Ste 430, Macon, GA 31217-8017 | 2020-03-24 |
| 1730716515 | Nicholas Paulsen James | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Ste 430, Macon, GA 31217-8017 | 2020-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005664 | Jackson Rodgers | Student in an Organized Health Care Education/Training Program | 5a Whispering Pines Ct, Macon, IL 62544-7218 | 2020-05-26 |
| 1548882780 | Lauren Elizabeth Lewis | Student in an Organized Health Care Education/Training Program | 790 1st St, Macon, GA 31201-6874 | 2020-05-11 |
| 1639708654 | Nehal Ninad | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street Ln, Macon, GA 31201-2168 | 2020-04-02 |
| 1346878279 | Albarra Younis | Student in an Organized Health Care Education/Training Program | 6445 Stapleton Rd, Macon, GA 31216-5234 | 2020-03-27 |
| 1396372496 | Joseph Martin Roberts | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street Ln # 42, Macon, GA 31201-2168 | 2020-03-26 |
| 1336775204 | Christopher Robin Denham | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Bldg A, Macon, GA 31217-8001 | 2020-03-23 |
| 1144852856 | Rachel Kathryn Albrecht | Student in an Organized Health Care Education/Training Program | 1500 College St, Macon, GA 31207-1500 | 2020-02-11 |
| 1710519616 | Elisha Scott | Student in an Organized Health Care Education/Training Program | 1345 Hardeman Ave Apt 415a, Macon, GA 31201-4403 | 2020-02-08 |
| 1871125179 | Aaron Daniel Brown | Student in an Organized Health Care Education/Training Program | 804 Locust St, Macon, MO 63552-1846 | 2020-02-05 |
| 1316593262 | Nicole Theresia Mette | Student in an Organized Health Care Education/Training Program | 1550 College St Mercer University School of Medicine, Macon, GA 31207-0001 | 2019-08-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.