Miriyala, Vinod

Miriyala, Vinod is an individual health care provider with primary practice located at 601 N Breiel Blvd Unit B , Middletown OH 45042-3899. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Miriyala, Vinod can be contacted via phone (513) 454-1111.

Contact Information

Primary practice address
601 N Breiel Blvd Unit B Middletown OH 45042-3899
Phone: (513) 454-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901019042 Michigan
Dental Providers / Dentist 122300000X 30-023190 Ohio
Dental Providers / Dentist 122300000X 3894 West Virginia
Dental Providers / Pediatric Dentistry 1223P0221X 34 West Virginia
Dental Providers / Pediatric Dentistry 1223P0221X 30-023190 Ohio

Profile Details

NPI number 1225055940
LBN Legal business name Miriyala, Vinod
Credentials DDS, BDS, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jun 21st, 2023 - about last year

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 1225055940 NPPES
West Virginia MEDICAID 3810018398
West Virginia MEDICAID 3057883
West Virginia MEDICAID 7100236110

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