KASHKA MALLARI MD
NPI 1174265573
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Kashka Mallari's NPI number?

The NPI number for Kashka Mallari is 1174265573. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Q: What is Kashka Mallari's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kashka Mallari was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 07, 2022PECOS Enrolled

833 CHESTNUT ST STE 220, PHILADELPHIA, PA 19107(215) 955-8465(215) 955-2516 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2022, Apr 7, 2022 (2 updates tracked since 2022).

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About Kashka Mallari Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASHKA MALLARI MD (NPI 1174265573) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174265573

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKASHKA MALLARICredential: MD

Location Address833 CHESTNUT ST STE 220Philadelphia, PA 19107-4405

Mailing Address833 Chestnut St Ste 220Philadelphia, PA 19107-4405 · (215) 955-8465 · Fax (215) 955-2516

Phone(215) 955-8465

Fax(215) 955-2516

Sole ProprietorYes

Enumeration DateApril 7, 2022

Last NPPES UpdateApril 22, 20222 updates tracked since enumeration

NPPES CertifiedApril 22, 2022

✔ NPI 1174265573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

833 CHESTNUT ST STE 220, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kashka Mallari Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RISA GOLDBERG

Student in an Organized Health Care Education/Training Program