License holder summary

GIRIDHAR GOVINDA MALLYA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for GIRIDHAR GOVINDA MALLYA is Providence RI 02906. This medical practitioner license is not current. The license was granted 05/31/2003 and expired on 06/30/2006.

Department of State

Board of Medicine

GIRIDHAR GOVINDA MALLYA
Graduate Medical Trainee
License number
MT182326
Date granted
05/31/2003
Date expires
06/30/2006
Class
Graduate Medical Trainee
Status
Inactive
Address
Providence RI 02906
medicinepa.com
ID 37551750
LAST UPDATED 2026-05-06 13:44:51 UTC

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