Mallela, Jaya Prakash

Mallela, Jaya Prakash is an individual health care provider with primary practice located at 1323 W 6Th Ave , Stillwater OK 74074-4306. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Mallela, Jaya Prakash can be contacted via phone (405) 372-1480.

Contact Information

Primary practice address
1323 W 6Th Ave Stillwater OK 74074-4306
Phone: (405) 372-1480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1407547326
LBN Legal business name Mallela, Jaya Prakash
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2023
Last updated May 19th, 2023 - 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.

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