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Nikita Mallepalli

Student in an Organized Health Care Education/Training Program in Shreveport, LA. Individual provider (NPI-1).

NPI number1023948981
StatusActive
Last updated in NPPESMay 21, 2026

Details

NPI
1023948981
Entity type
Individual (NPI-1)
Name
Nikita Mallepalli
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2026
Certification date
May 21, 2026
Last updated
May 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–LAYes

Practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Phone 318-348-7508

Mailing address

10037 Somerset Ln
Shreveport, LA 71106-8537

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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