DR. JAYA PRAKASH MALLELA
NPI 1407547326
Student in an Organized Health Care Education/Training Program in Stillwater, OK

Active since May 19, 2023
1323 W 6TH AVE, STILLWATER, OK 74074(405) 372-1480 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jaya Prakash Mallela NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAYA PRAKASH MALLELA (NPI 1407547326) is an individual student in an organized health care education/training program in Stillwater, Oklahoma and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1407547326
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JAYA PRAKASH MALLELA
Location Address1323 W 6TH AVEStillwater, OK 74074-4306
Mailing Address4700 Kamran CtEdmond, OK 73013-9040
Sole ProprietorNo
Enumeration DateMay 19, 2023
NPPES CertifiedMay 8, 2023
NPI 1407547326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1323 W 6TH AVE, Stillwater, OK 74074

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1323 W 6TH AVE
STILLWATER, OK 74074
Nurse Practitioner (Primary Care)
1323 W 6TH AVE
STILLWATER, OK 74074
Nurse Practitioner
1323 W 6TH AVE
STILLWATER, OK 74074
Anesthesiology
1323 W 6TH AVE
STILLWATER, OK 74074
Physical Therapist
1323 W 6TH AVE
STILLWATER, OK 74074
Anesthesiology
1323 W 6TH AVE
STILLWATER, OK 74074
Student in an Organized Health Care Education/Training Program
1323 W 6TH AVE
STILLWATER, OK 74074
Emergency Medicine
1323 W 6TH AVE
STILLWATER, OK 74074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaya Mallela's NPI number?

The NPI number for Jaya Mallela is 1407547326. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Jaya Mallela located?

Jaya Mallela practices at 1323 W 6th Ave, Stillwater, OK 74074. The listed phone number is (405) 372-1480.

What is Jaya Mallela's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jaya Mallela was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.