Buddula, Aravind

Buddula, Aravind is an individual health care provider with primary practice located at 15640 Redmond Way , Redmond WA 98052-3831. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Buddula, Aravind can be contacted via phone (425) 881-5533.

Contact Information

Primary practice address
15640 Redmond Way Redmond WA 98052-3831
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DE 60121878 Washington

Profile Details

NPI number 1023215902
LBN Legal business name Buddula, Aravind
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Jul 21st, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023215902 NPPES
Minnesota MEDICAID 347453000

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