Kosaraju, Amar

Kosaraju, Amar is an individual health care provider with primary practice located at 1615 Truemper St Dunn Dental Clinic, Rm B227, Jbsa Lackland TX 78236. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Kosaraju, Amar can be contacted via phone (210) 292-0774.

Contact Information

Primary practice address
1615 Truemper St Dunn Dental Clinic, Rm B227 Jbsa Lackland TX 78236
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS-031024L Pennsylvania
Dental Providers / Dentist 122300000X 058340 New York

Profile Details

NPI number 1841287000
LBN Legal business name Kosaraju, Amar
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Aug 5th, 2020 - about 4 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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