PRASHANTH A MALLY (NPI# 1669649729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669649729 |
| Entity Type | Individual |
| Full Name | PRASHANTH A MALLY |
| Credential | MD |
| Practice Address |
12255 Fair Lakes Pkwy Fairfax VA 22033-3952 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 7039345700 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2011-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
101244719 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
12255 FAIR LAKES PKWY |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-3952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776591 | Michael Scott Wenzel | Family Medicine | 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033-3952 | 2005-08-02 |
| 1962027755 | Saly Damigou Moukdagou | Registered Nurse | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2020-06-08 |
| 1114565298 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2019-12-19 |
| 1013367564 | Andaleeb Rahman | Family Medicine | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2016-06-15 |
| 1689062978 | Thuy-trinh Tran | Pharmacist | 12255 Fair Lakes Pkwy, Pharmacy Department, Fairfax, VA 22033-3952 | 2015-01-08 |
| 1871901645 | Anahita Aminshokravi | Optometrist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2014-07-24 |
| 1609209980 | Urvi P Shah | Physical Therapist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-08-09 |
| 1326381823 | Lujuana Faye Hairston | Pharmacist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-04-03 |
| 1679815708 | Peter Ho | Pharmacist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-03-27 |
| 1306188610 | Kimberly Marie Balaban | Pharmacist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093236226 | Physical Medicine Associates Ltd | Anesthesiology | 3620 Joseph Siewick Dr Ste 101, Fairfax, VA 22033-1757 | 2017-06-28 |
| 1356734412 | Northern Virginia Surgery Center Anesthesia | Anesthesiology | 3620 Joseph Siewick Dr, Suite 202, Fairfax, VA 22033-1756 | 2015-03-13 |
| 1447384011 | Amgad W Abdou | Anesthesiology | 3031 Javier Rd., Ste. 100, Fairfax, VA 22031 | 2007-03-15 |
| 1972694891 | Laura C Filipescu-turner | Anesthesiology | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-09-27 |
| 1518058569 | Lavanya Kodali | Anesthesiology | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-09-27 |
| 1649371014 | Mi Hwa Kang | Anesthesiology | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-09-26 |
| 1952401440 | Julieta O Virtudes | Anesthesiology | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-09-24 |
| 1770681660 | Kamla K Prasad | Anesthesiology | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-09-21 |
| 1164529962 | Zamira Orahovac | Anesthesiology | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-09-20 |
| 1053417543 | Kaadze M Wright | Anesthesiology | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-09-15 |
| Find all providers in FAIRFAX | ||||
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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.