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Individual

ANITA MALLYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3980
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
344574
LA
2084A2900X
Neurocritical Care Physician
85276
GA
2084A2900X
Neurocritical Care Physician
95679
SC
2084N0400X
Neurology Physician
Primary
C1-0029133
DE

Other

Enumeration date
04/02/2016
Last updated
02/11/2026
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