Bhadriraju, Ravi Prakash

Bhadriraju, Ravi Prakash is an sole proprietor health care provider with primary practice located at 18205 N 51St Ave Ste 101 , Glendale AZ 85308-1491. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bhadriraju, Ravi Prakash can be contacted via phone (602) 993-4200.

Contact Information

Primary practice address
18205 N 51St Ave Ste 101 Glendale AZ 85308-1491
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D010354 Arizona

Profile Details

NPI number 1487214276
LBN Legal business name Bhadriraju, Ravi Prakash
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2019
Last updated Jun 14th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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