RAZIYA MALLYA (NPI# 1700937158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700937158 |
| Entity Type | Individual |
| Full Name | RAZIYA MALLYA |
| Credential | MD |
| Practice Address |
1129 Macklind Ave Saint Louis MO 63110-1440 |
| Practice Telephone | 3145340200 |
| Practice Fax Number | 3145347996 |
| Mailing Telephone | 3145340200 |
| Mailing Fax Number | 3145347996 |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | R7932 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1129 MACKLIND AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487732335 | St. Louis Behavioral Medicine Institute Inc | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2006-11-01 |
| 1134746712 | Carolyn Lee | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2020-06-30 |
| 1760034276 | Emily R Gorzalski | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2019-07-15 |
| 1992213326 | Alison R Menatti | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2018-01-19 |
| 1790237220 | Sandra Rose Price | Social Worker | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2016-11-01 |
| 1295103216 | Jessica Polson | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2015-09-08 |
| 1841667029 | Kaylie Thomas Allen | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110 | 2015-08-24 |
| 1770963407 | Jessica Gerfen | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2015-06-08 |
| 1992114417 | Camille Randall | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2014-08-08 |
| 1487093092 | Kerrie Armstrong | Psychologist | 1129 Macklind Ave, Saint Louis, MO 63110-1440 | 2013-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1780223933 | Glenn C. Jacobsen | Internal Medicine | 7 Carrswold Dr, Saint Louis, MO 63105-2914 | 2020-01-04 |
| 1396305868 | Kevin Colin O'fee | Internal Medicine | 1 Barnes Jewish Hospital Plz # 90-29928, Saint Louis, MO 63110-1003 | 2019-06-17 |
| 1144740200 | Michael Slade | Internal Medicine | 660 S Euclid Ave # 8056-29, Saint Louis, MO 63110-1010 | 2017-06-20 |
| 1386171312 | Niaz Memon | Internal Medicine | 625 S New Ballas Rd Ste 7020, Saint Louis, MO 63141-8218 | 2017-05-22 |
| 1043746027 | Paul David Olivo | Internal Medicine | 639 W Polo Dr, Saint Louis, MO 63105-2635 | 2017-05-11 |
| 1649706243 | Jared Frisby | Internal Medicine | 1100 S Grand Blvd Fl 8, Saint Louis, MO 63104-1015 | 2017-05-03 |
| 1518417708 | Md At Home LLC | Internal Medicine | 6 Portland Pl, Saint Louis, MO 63108-1204 | 2016-10-11 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1831540863 | John Kirby Krause Jr. | Internal Medicine | 1031 Highlands Plaza Dr W, Apt 510, Saint Louis, MO 63110-1303 | 2016-06-30 |
| 1104277458 | Vedica Sharma | Internal Medicine | 10010 Kennerly Rd Ste 140, Saint Louis, MO 63128-2106 | 2016-06-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.