Mandava, Amrutha Chandra
Mandava, Amrutha Chandra is an individual health care provider with primary practice located at 1662 Central Ave , Albany NY 12205. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mandava, Amrutha Chandra can be contacted via phone (518) 452-2121.Contact Information
Primary practice address
1662 Central Ave
Albany NY 12205
Phone: (518) 452-2121
Fax: (518) 456-2865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 042469 | New York |
Profile Details
| NPI number | 1053370882 |
|---|---|
| LBN Legal business name | Mandava, Amrutha Chandra |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Aug 24th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053370882 | NPPES |
| New York | Other | 795808 | UNITED CONCORDIA |
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