Healthcare Provider Details

I. General information

NPI: 1598697112
Provider Name (Legal Business Name): DR. SHREE LEKHA TALASILA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES PEDIATRIC R 1 CHILDREN'S WAY, SLOT 512-19A
LITTLE ROCK AR
72202
US

IV. Provider business mailing address

UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES PEDIATRIC R 1 CHILDREN'S WAY, SLOT 512-19A
LITTLE ROCK AR
72202
US

V. Phone/Fax

Practice location:
  • Phone: 501-364-1874
  • Fax: 501-364-3196
Mailing address:
  • Phone: 501-364-1874
  • Fax: 501-364-3196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: