Ravi C Maddali, Dds, Pc

Dental Clinic

 
639 W 173rd St Apt 1a, New York
    New York, 10032-1426

 212-928-4480    212-928-8389 Maps & Directions
Ravi C Maddali, Dds, Pc is a Dental Clinic in New York, New York. It is located at 639 W 173rd St Apt 1a, New York, NY and its contact number is 212-928-4480. The authorized person for Ravi C Maddali, Dds, Pc is Dr. Ravi C Maddali who is President of the clinic and their contact number is 212-928-4480. The primary license number for Ravi C Maddali, Dds, Pc is 045922-1 (General Practice) in New York.
Ravi C Maddali, Dds, Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Ravi C Maddali, Dds, Pc Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Ravi C Maddali, Dds, Pc
Specialization: General Practice Dentistry
Clinic Address:639 W 173rd St Apt 1a, New York,
New York, 10032-1426
Phone:212-928-4480
Fax:212-928-8389
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name: Dr. Ravi C Maddali
Position: President
Contact Number: 212-928-4480
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ravi C Maddali, Dds, Pc clinic are as mentioned below.
NPI Number: 1114178795
NPI Enumeration Date: 01 Oct, 2008
NPI Last Update On: 21 Nov, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ravi C Maddali, Dds, Pc are as mentioned below.
SpecializationLicense NumberStateStatus
General Practice 045922-1New YorkPrimary
General Practice 051162-1New YorkSecondary
General Practice 034679-1New YorkSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
00445625MedicaidNew York
02559039MedicaidNew York
01704829MedicaidNew York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Ravi C Maddali, Dds, Pc
639 W 173rd St Apt 1a,
New York, New York
Zip: 10032-1426
Phone Number: 212-928-4480
Fax Number: 212-928-8389
Patients can reach Ravi C Maddali, Dds, Pc at 639 W 173rd St Apt 1a, New York, New York or can call to book an appointment on 212-928-4480. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.

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