Malireddy, Pratyusha
Malireddy, Pratyusha is an sole proprietor health care provider with primary practice located at 5820 Walzem Rd , Windcrest TX 78218-2256. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Malireddy, Pratyusha can be contacted via phone (210) 375-3395.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 38593 | Texas |
Profile Details
| NPI number | 1447981287 |
|---|---|
| LBN Legal business name | Malireddy, Pratyusha |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2022 |
| Last updated | Jun 22nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447981287 | NPPES |
| Texas | Other | 38593 | DENTAL LICENSE |
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