Individual provider · Type 1 NPI

Prashanth A. Mally, MD

Pain Medicine (Anesthesiology) Physician · Fairfax, VA

NPI number 1669649729 Active

Practice location

12255 Fair Lakes Pkwy
Fairfax, VA 22033-3952

Mailing address

2101 E Jefferson St, Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Anesthesiology) Physician Primary 207LP2900X101244719 (VA)

Pain Medicine (Anesthesiology) Physician: 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.

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About NPI 1669649729

Prashanth A. Mally, MD's National Provider Identifier is 1669649729, issued on May 8, 2008. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in Fairfax, VA. The record was last updated on Nov 23, 2021.