Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANAITA NALLADARU MULLASSERIL, B.D.S., M.S.
Active Sole ProprietorDR. ANAITA NALLADARU MULLASSERIL, B.D.S., M.S. is a Orthodontics healthcare provider located in SHAWNEE, Oklahoma. NPI 1053558254 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · SHAWNEE, OK
Registration Details
- NPI Number
- 1053558254
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2009 (17.618857132145 yrs)
- Last Updated
- Jul 4, 2012
- License
-
172 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
504 SHAWNEE MALL DRSHAWNEE, OK, 748041317Browse OK providers · Browse ZIP 74804
- Phone
- 4058788899
- Fax
- 4058788896
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in SHAWNEE, OK
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM JACK MANN | DDS | 1073799508 |
| MUNISHA NANDA | — | 1487882494 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.