Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sanjay M Mallya, BDS

Individual provider Oral and Maxillofacial Radiology Dentistry · NPI 1538158043

Dr. Sanjay M Mallya, BDS is an Oral and Maxillofacial Radiology Dentistry in Los Angeles, California. Licensed in California and Connecticut. Registered with an NPI since 2005.

Licensed in
CA, CT
In the registry since
2005
Specialties on file
2

Practice location Address checks out

10833 Le Conte Ave Chs 10-165
Los Angeles, CA 90095-1668
Phone: (310) 825-5634
Fax: (310) 206-2748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Radiology Dentistry (primary) Taxonomy 1223X0008X · Licence SP-251 (CA)
Oral and Maxillofacial Radiology Dentistry Taxonomy 1223X0008X · Licence 9026 (CT)

Record details

NPI number1538158043
Entity typeIndividual (Type 1)
GenderMale
Credentials BDS
Sole proprietorNo
NPI enumeratedOctober 18, 2005
Last updated in NPPESMarch 2, 2010

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