Dr. Sanjay M Mallya is a Los Angeles, California based Oral and Maxillofacial Radiologist who is specialized in Oral and Maxillofacial Radiology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Sanjay M Mallya is SP-251 for Oral and Maxillofacial Radiology in California. His current practice location is 10833 Le Conte Ave, Chs 10-165, Los Angeles. Patients can reach him at 310-825-5634.
Dr. Sanjay M Mallya is concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.
Complete Profile:
Dr. Sanjay M Mallya speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Sanjay M Mallya
Specialization:
Oral and Maxillofacial Radiologist
Gender:
Male
Credentials:
B.D.S.
Accepts Medicare Assignment:
No
Practice Address:
10833 Le Conte Ave, Chs 10-165, Los Angeles, California, 90095-1668
Phone:
310-825-5634
Fax:
310-206-2748
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1538158043
NPI Enumeration Date:
18 Oct, 2005
NPI Last Update On:
02 Mar, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Sanjay M Mallya are as mentioned below.
License Number
Specialization
State
Status
SP-251
Oral and Maxillofacial Radiology
California
Primary
9026
Oral and Maxillofacial Radiology
Connecticut
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Sanjay M Mallya such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
004010807
Medicaid
Connecticut
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
P.o. Box 951668, Chs 10-165 Los Angeles, California
Zip:
90095-1668
Phone Number:
860-679-2453
Fax Number:
860-679-2756
Patients can reach Dr. Sanjay M Mallya at 10833 Le Conte Ave, Chs 10-165, Los Angeles, California or can call to book an appointment on 310-825-5634. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.