Prathima Rasamesetty in Pueblo - Dentist

Prathima Rasamesetty - NPI 1790941912

Prathima Rasamesetty is a Dentist in Pueblo, Colorado. Prathima Rasamesetty practices all healthcare services and medical treatments related to Dentist. The NPI Number for Prathima Rasamesetty is 1790941912. The last update date is 2012-10-16.

Prathima Rasamesetty's current location address is 1022 Liberty Ln, Pueblo, Colorado. You can contact this provider via phone number 7195455778 and fax number 7195455783. The mailing address for Prathima Rasamesetty is 1022 Liberty Ln, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Prathima Rasamesetty
Address 1022 Liberty Ln, Pueblo, Colorado
Phone Number 7195455778
Fax Number 7195455783
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1790941912
Provider Enumeration Date 2008-08-07
Last Updated Date 2012-10-16

Provider Mailing Address Detail

Address 1022 Liberty Ln
City Pueblo
State Colorado (CO)
Post Code 810012039
Phone Number 7195455778
Fax Number 7195455783

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 6710
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9710 CO CO DENTAL LICENSE

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FAQs about Prathima Rasamesetty

What is the unique 10-digit identification code assigned to Prathima Rasamesetty by the Centers for Medicare & Medicaid Services?

The Prathima Rasamesetty has been issued the NPI (National Provider Identifier) 1790941912, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Prathima Rasamesetty?

The Prathima Rasamesetty is physically situated at 1022 Liberty Ln, in the city of Pueblo, state of CO, with the postal code 810012039.

What is Prathima Rasamesetty's specialized field of practice, and what is the corresponding taxonomy classification code?

The Prathima Rasamesetty's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Prathima Rasamesetty receive its 1790941912 assignment from the Centers for Medicare & Medicaid Services?

The Prathima Rasamesetty was assigned its 1790941912 by the Centers for Medicare & Medicaid Services on 2008-08-07.

When was the information regarding Prathima Rasamesetty, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Prathima Rasamesetty, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-10-16.

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