TEJASWEE MALLELA MD
NPI 1922868298
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 21, 2024

2601 HOLME AVE, PHILADELPHIA, PA 19152(215) 335-6000 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tejaswee Mallela Md NPPES

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

TEJASWEE MALLELA MD (NPI 1922868298) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1922868298

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTEJASWEE MALLELACredential: MD

Location Address2601 HOLME AVEPhiladelphia, PA 19152-2007

Mailing Address2601 Holme AvePhiladelphia, PA 19152-2007 · (215) 335-6000

Phone(215) 335-6000

Sole ProprietorYes

Enumeration DateMarch 21, 2024

NPPES CertifiedMarch 21, 2024

✔ NPI 1922868298 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.

2601 HOLME AVE, Philadelphia, PA 19152

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