Chada, Revanth

Chada, Revanth is an sole proprietor health care provider with primary practice located at 11212 Professional Park Dr , Louisville KY 40291-4476. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Chada, Revanth can be contacted via phone (612) 735-8159.

Contact Information

Primary practice address
11212 Professional Park Dr Louisville KY 40291-4476
Phone: (612) 735-8159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D13666 Minnesota
Dental Providers / Dentist 122300000X 10740 Kentucky
Dental Providers / Endodontics 1223E0200X 10740 Kentucky

Profile Details

NPI number 1528415742
LBN Legal business name Chada, Revanth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2016
Last updated Oct 3rd, 2023 - about 3 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.

Request for update

Popular Providers