Kadiyala, Sai L

Kadiyala, Sai L is an individual health care provider with primary practice located at 367 Cooley Street , Springfield MA 01128. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kadiyala, Sai L can be contacted via phone (413) 796-1616.

Contact Information

Primary practice address
367 Cooley Street Springfield MA 01128
Phone: (413) 796-1616
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30-022297 Ohio

Profile Details

NPI number 1982664173
LBN Legal business name Kadiyala, Sai L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated May 24th, 2010 - about 15 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 1982664173 NPPES
Ohio MEDICAID 2628071

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