Individual provider · Type 1 NPI

Dhiraj Mallela, BDS

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1770049561 Active

Practice location

501 S Preston St
Louisville, KY 40202-1701

Call (603) 930-8999 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XD-00047 (KY)

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 1770049561

Dhiraj Mallela, BDS's National Provider Identifier is 1770049561, issued on Feb 16, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Sep 4, 2025.