NPI 1003591041

Mallika Gyawali, MD

Practitioner Internal Medicine Physician Fort Wayne, IN

Practice location

Address: 2200 Randallia Dr, Fort Wayne, IN 46805-4638
Phone: (260) 373-4000

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 11023223A (IN)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003591041
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2023
Record last updated: 26 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.