Madonna C Mallari MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33207 Issued in AZ

Legal business name

MADONNA C MALLARI MD PLLC

Practice address

9953 N 95TH St
Suite 105
Scottsdale, AZ 85258-4593

Phone

(480) 945-8360

Fax

(480) 945-4555

NPI assigned

Jan 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Madonna C Mallari, MD

Title

Owner Proprieter

Phone

(480) 945-8360

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1437296290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9953 N 95TH ST",
            "address_2": "SUITE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584593",
            "telephone_number": "480-945-8360",
            "fax_number": "480-945-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9953 N 95TH ST",
            "address_2": "SUITE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584593",
            "telephone_number": "480-945-8360",
            "fax_number": "480-945-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADONNA C MALLARI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "MALLARI",
        "authorized_official_first_name": "MADONNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PROPRIETER",
        "authorized_official_telephone_number": "480-945-8360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "33207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883860",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josie M Madden, PHARM.D.
• Marnie Lynn Madden, M.S., CCC-SLP
• Madera Wellness Center, LLC
• Shahin Madi, D.M.D., M.S.
• Niveditha Madineni
• Samuel Madrid, PA
• Christine Helen Madsen, NMD
• Susan Ja Madsen, M.D.
• Vanessa Renee Madsen, PT
• James A Madura II, M.D.

• Internal Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.