Naidu, Suresh K

Naidu, Suresh K is an individual health care provider with primary practice located at 156 Dudley St , Roxbury MA 02119. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Naidu, Suresh K can be contacted via phone (617) 445-7050.

Contact Information

Primary practice address
156 Dudley St Roxbury MA 02119
Fax: (617) 445-7051
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 13632 Massachusetts

Profile Details

NPI number 1922154301
LBN Legal business name Naidu, Suresh K
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jan 30th, 2008 - about 16 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 1922154301 NPPES
Other 9198817 DORAL
Other X05064NA DORAL
Other 9721738 DORAL
MEDICAID 0253049 DORAL
Other 784074 DORAL

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