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RAYMUNDO T MALLARI M.D.
NPI 1205991965
Specialist in Fairburn, GA

Active since December 23, 2006
285 DIX LEEON DR, FAIRBURN, GA 30213(770) 461-5436(770) 461-5436 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raymundo T Mallari M.d. NPPES

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

RAYMUNDO T MALLARI M.D. (NPI 1205991965) is an individual specialist in Fairburn, Georgia, licensed in Georgia (017855) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1205991965
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameRAYMUNDO T MALLARICredential: M.D.
Location Address285 DIX LEEON DRFairburn, GA 30213-3609
Mailing Address285 Dix Leeon DrFairburn, GA 30213-3609 · (770) 461-5436 · Fax (770) 461-5436
Phone(770) 461-5436
Fax(770) 461-5436
Sole ProprietorYes
Enumeration DateDecember 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205991965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 017855
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

285 DIX LEEON DR, Fairburn, GA 30213
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Other Identifiers 1

Medicare UPIND30218GA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raymundo Mallari's NPI number?

The NPI number for Raymundo Mallari is 1205991965. It was assigned to this individual provider in the NPPES registry on December 23, 2006.

Where is Raymundo Mallari located?

Raymundo Mallari practices at 285 Dix Leeon Dr, Fairburn, GA 30213. The listed phone number is (770) 461-5436.

What is Raymundo Mallari's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Raymundo Mallari was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.