| Doctor Name: | DR. MEDIATRIX MBAMALU |
| NPI Number: | 1114174257 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 44677 |
| Business Practice Address: | 226 Medical Plaza Ln Whitesburg, KY - 418587425 |
| Business Phone Number: | 6066334871 |
| Business Fax Number: | 6066330883 |
| Mailing Address: | Po Box 40, WHITESBURG |
| State: | KY |
| Postal Code: | 418580040 |
| Phone Number: | 6066334823 |
| Fax Number: | 6066331874 |
| NPI Enumeration Date: | 08/20/2008 |
| NPI Last Update Date: | 01/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | 44677 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |