| Anita Mallya, | |
| 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | |
| (504) 842-3980 | |
| Not Available | 
| Full Name | Anita Mallya | 
|---|---|
| Gender | Female | 
| Speciality | Psychiatry & Neurology - Neurocritical Care | 
| Location | 1514 Jefferson Hwy, New Orleans, Louisiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508229956 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084A2900X | Psychiatry & Neurology - Neurocritical Care | 85276 (Georgia) | Secondary | 
| 2084A2900X | Psychiatry & Neurology - Neurocritical Care | 344574 (Louisiana) | Primary | 
| Entity Name | Northeast Georgia Physicians Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Anita Mallya, 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Anita Mallya, 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-3980 | 
| Korak Sarkar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2820 Napoleon Ave Ste 810, New Orleans, LA 70115 Phone: 504-894-2395 | |
| Dr. Maurice David Gelder, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5323 Coliseum Street, New Orleans, LA 70115 Phone: 504-899-4160 | |
| Abdul Hafeez Khan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 719 Elysian Fields Ave, New Orleans, LA 70117 Phone: 504-942-8101 Fax: 504-942-8242 | |
| Dr. Lucido Luciano Ponce Mejia, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2020 Gravier St Fl 7, New Orleans, LA 70112 Phone: 504-568-6120 Fax: 504-568-6127 | |
| Jennifer Velander, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1542 Tulane Avenue, 2nd Floor, New Orleans, LA 70112 Phone: 504-568-6004 | |
| Dr. Joshua Sanderson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1750 St. Charles Ave., Suite 609, New Orleans, LA 70130 Phone: 504-232-1087 | |
| Dr. Kelly Landry Angelle, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2021 Perdido St Fl 6, New Orleans, LA 70112 Phone: 504-568-4082 |