Sanjay M Mallya in Los Angeles - Oral And Maxillofacial Radiology

Sanjay M Mallya - NPI 1538158043

Sanjay M Mallya is a Oral And Maxillofacial Radiology in Los Angeles, California. Sanjay M Mallya practices all healthcare services and medical treatments related to Oral And Maxillofacial Radiology. The NPI Number for Sanjay M Mallya is 1538158043. The last update date is 2010-03-02.

Sanjay M Mallya's current location address is P.o. Box 951668, Los Angeles, California. You can contact this provider via phone number 8606792453 and fax number 8606792756. The mailing address for Sanjay M Mallya is P.o. Box 951668, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Sanjay M Mallya
Address P.o. Box 951668, Los Angeles, California
Phone Number 8606792453
Fax Number 8606792756
Sole Proprietor N
Credentials B.D.S.

NPI Number Detail

NPI Number 1538158043
Provider Enumeration Date 2005-10-18
Last Updated Date 2010-03-02

Provider Mailing Address Detail

Address P.o. Box 951668
City Los Angeles
State California (CA)
Post Code 900951668
Phone Number 8606792453
Fax Number 8606792756

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Radiology
Taxonomy 1223X0008X
Licence No 9026
Definition:
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditio

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4010807 CT --

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FAQs about Sanjay M Mallya

What is the unique provider identifier assigned to Sanjay M Mallya?

The Sanjay M Mallya has been issued the NPI (National Provider Identifier) 1538158043 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Sanjay M Mallya?

The Sanjay M Mallya is situated at P.O. Box 951668, in the city of Los Angeles, state of CA, with the zip code 900951668.

What is the Sanjay M Mallya's specialty and taxonomy code?

The Sanjay M Mallya's specialty is Oral And Maxillofacial Radiology, and the corresponding taxonomy code is 1223X0008X.

On what date was the 1538158043 assigned to Sanjay M Mallya?

The Sanjay M Mallya was issued its 1538158043 on 2005-10-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Sanjay M Mallya, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Sanjay M Mallya, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-02.

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