DR. RAGHURAM G MALLYA (NPI# 1912115833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912115833 |
| Entity Type | Individual |
| Full Name | DR. RAGHURAM G MALLYA |
| Credential | MD |
| Practice Address |
915 Old Fern Hill Rd Bldg A Bldg A Suite 5 West Chester PA 19380 |
| Mailing Address |
207 N Broad St 3rd Flr Philadelphia PA 19107-1500 |
| Practice Telephone | 6106962850 |
| Practice Fax Number | 6106967159 |
| Mailing Telephone | 2674794142 |
| Mailing Fax Number | 2154633820 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD424622 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102140390 | 05 | |
| PA | MEDICARE ID | 125385GT6 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 404 Mcfarlan Rd - Bldg A Ste 102, Kennett Square, PA 193482479 | 6106962850 | 6106967159 |
| 455 Woodview Rd, West Grove, PA 193909303 | 6106962850 | 6106967159 |
| Street Address |
915 OLD FERN HILL RD BLDG A BLDG A SUITE 5 |
| City | WEST CHESTER |
| State | PA |
| Zip Code | 19380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846062 | Mikaela Lynn Mastromatto | Occupational Therapist | 1615 Boot Rd, West Chester, PA 19380 | 2020-09-17 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1457984759 | Dana Marie Buckalew | Nurse Practitioner | 915 Fern Hill Road, Building A Suite 3, West Chester, PA 19380 | 2020-02-15 |
| 1285102921 | Audrey Caulfeild Caspar-clark | Dietitian, Registered | 221 Chatham Way, West Chester, PA 19380 | 2018-11-12 |
| 1497245260 | Hshc, Inc. | Audiologist-Hearing Aid Fitter | 131 North Church Street, West Chester, PA 19380 | 2018-05-16 |
| 1164946364 | Kevin Hayes | Social Worker | 310 N Matlack St., West Chester, PA 19380 | 2017-07-29 |
| 1750804472 | Pamela Ann Najera | Psychologist | 390 E. Boot Road, West Chester, PA 19380 | 2017-07-25 |
| 1356723613 | Rynda Ross Ganster | Nurse Practitioner | 400 E. Marshall St., West Chester, PA 19380 | 2015-06-23 |
| 1164823845 | Jeffrey Diksa | Behavioral Analyst | 117 E Chestnut St., Apt 307, West Chester, PA 19380 | 2014-09-12 |
| 1134535057 | Miranda Wolff | Speech-Language Pathologist | 1507 Manchester Ct, Apt 304, West Chester, PA 19380 | 2014-07-11 |
| Find all providers in zip 19380 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699014282 | Mary Berninger Allan | Internal Medicine | 660 S Westbourne Rd, West Chester, PA 19382-8511 | 2013-02-03 |
| 1306114178 | L.rajasekhar,m.d | Internal Medicine | 7218 Stone Harbour Ln, West Chester, OH 45069-6569 | 2011-12-08 |
| 1083799365 | Lakkaraj Rajasekhar | Internal Medicine | 7218 Stone Harbour Ln Ste 200, West Chester, OH 45069-6569 | 2006-10-26 |
| 1013996214 | Abdul R. Wattar | Internal Medicine | 7700 University Ct, West Chester, OH 45069-6542 | 2006-01-16 |
| 1912996547 | Hope B. Helfeld | Internal Medicine | 531 Maple Ave., West Chester, PA 19380-4416 | 2005-10-17 |
| 1053314773 | Christopher L Baldi | Internal Medicine | 915 Old Fern Hill Rd, Bldg. A Suite 5, West Chester, PA 19380-4269 | 2005-05-27 |
| 1194042127 | Sharayne Mark Coffin | Internal Medicine | 915 Old Fern Hill Rd, Bldg A Suite 5, West Chester, PA 19380 | 2010-04-30 |
| 1265622369 | Riya Susan Chacko | Internal Medicine | 915 Old Fern Hill Rd, Bldg A Ste 5, West Chester, PA 19380-4269 | 2007-07-26 |
| 1992995146 | Zainal M. Hussain | Internal Medicine | 531 Maple Ave., West Chester, PA 19380-4416 | 2007-07-25 |
| 1750586483 | James N Muth | Internal Medicine | 7675 Wellness Way, West Chester, OH 45069 | 2007-06-21 |
| Find all providers in WEST CHESTER | ||||
| City | WEST CHESTER |
| Zip Code | 19380 |
Please comment or provide details below to improve the information on DR. RAGHURAM G MALLYA.
| 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.