SOBHA MALLA RD, CSR
NPI 1801286240
Dietitian, Registered - Nutrition, Renal in Randolph, NJ

Q: What is Sobha Malla's NPI number?

The NPI number for Sobha Malla is 1801286240. It was assigned to this individual provider in the NPPES registry on January 23, 2015.

Q: What is Sobha Malla's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

Q: When was this NPI record last updated?

The NPPES record for Sobha Malla was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 23, 2015

121 CENTER GROVE RD, RANDOLPH, NJ 07869(315) 834-2382 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sobha Malla Rd, Csr NPPES

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

SOBHA MALLA RD, CSR (NPI 1801286240) is an individual nutrition, renal provider in Randolph, New Jersey, licensed in New Jersey (931194) and active in the NPI registry since January 2015. She maintains a secondary practice location in Miramar Beach.

NPPES Registry Identity

NPI1801286240

Entity TypeIndividualFemale

Primary Taxonomy133VN1005X

Provider Legal NameSOBHA MALLACredential: RD, CSR

Location Address121 CENTER GROVE RDRandolph, NJ 07869-4453

Mailing Address121 Center Grove RdRandolph, NJ 07869-4453 · (510) 792-2652

Phone(315) 834-2382

Sole ProprietorNo

Enumeration DateJanuary 23, 2015

Last NPPES UpdateNovember 16, 2023

NPPES CertifiedNovember 16, 2023

✔ NPI 1801286240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers

Taxonomy Code133VN1005X

License✔ Licensed in NJ · 931194

Definition

An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.

121 CENTER GROVE RD, Randolph, NJ 07869

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Secondary Practice Location 1

Location 11096 Scenic Gulf Dr Ph 1602Miramar Beach, FL 32550-7015 · Phone (510) 792-2652

Other Providers at the Same Location NPPES 16

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

SHING LI M.D.

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