Gagan Deep Mall M.D.

NPI 1083714919 - Psychiatry & Neurology - 2084P0805X

NPI Details
NPI 1083714919
Gender Male
Enumeration Date 09/22/2006
Last Updated 07/27/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2100 NAPA VALLEJO HWY
NAPA CA, 94558-6234, US
Phone (707) 253-5434
Fax (707) 254-2423
Business Location
596 EDENDERRY DR
VACAVILLE CA, 95688-8560, US
Phone (707) 392-5086
Fax (707) 392-5086
Toxanomy
Taxonomy Code 2084P0805X
License State Oklahoma
License Number 22370
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According to our database, Dr. Gagan Deep Mall M.D. NPI is 1083714919, taxonomy code is 2084P0805X and license number is 22370, license state is located at Oklahoma. Gagan Deep Mall M.D. physically located at 2100 Napa Vallejo Hwy, Napa CA, 94558-6234. NPI Number Gagan Deep Mall M.D. has the Individual type.

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1083714919 NPI number is provided on an as is basis without warranty of any kind. 1083714919 is maintained by the National Plan & Provider Enumeration System. The contents of Gagan Deep Mall M.D. are for informational purposes only.