Individual provider · Type 1 NPI

Manogna Telikapalli, DDS

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1679483614 Active

Practice location

1121 W Michigan St
Indianapolis, IN 46202-5211

Call (317) 274-7433 Map

Mailing address

7950 Welch Ml
Ball Ground, GA 30107-5584

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1679483614

Manogna Telikapalli, DDS's National Provider Identifier is 1679483614, issued on Sep 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 10, 2026.