Individual
DR. DHIRAJ MALLELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(603) 930-8999
Mailing address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(603) 930-8999
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
D-00047
KY
Other
Enumeration date
02/16/2019
Last updated
09/04/2025
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