Radhika Manthina is a Dentist in San Jose, California. Radhika Manthina practices all healthcare services and medical treatments related to Dentist. The NPI Number for Radhika Manthina is 1508054982. The last update date is 2008-03-11.
Radhika Manthina's current location address is 4522 Hamilton Ave, San Jose, California. You can contact this provider via phone number 4083967377. The mailing address for Radhika Manthina is 4522 Hamilton Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Radhika Manthina |
|---|---|
| Address | 4522 Hamilton Ave, San Jose, California |
| Phone Number | 4083967377 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1508054982 |
|---|---|
| Provider Enumeration Date | 2007-10-10 |
| Last Updated Date | 2008-03-11 |
Provider Mailing Address Detail
| Address | 4522 Hamilton Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951301424 |
| Phone Number | 4083967377 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 55821 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D55821 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Radhika Manthina?
The Radhika Manthina has been issued the NPI (National Provider Identifier) 1508054982 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Radhika Manthina?
The Radhika Manthina is physically situated at 4522 Hamilton Ave, in the city of San Jose, state of CA, with the postal code 951301424.
What is Radhika Manthina's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Radhika Manthina is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date was the 1508054982 assigned to Radhika Manthina?
The Radhika Manthina was issued its 1508054982 on 2007-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Radhika Manthina most recently updated or revised?
The information pertaining to Radhika Manthina, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-11.