Keerthi K Miryala is a Dentist in Odessa, Texas. Keerthi K Miryala practices all healthcare services and medical treatments related to Dentist. The NPI Number for Keerthi K Miryala is 1437247897. The last update date is 2021-02-15.
Keerthi K Miryala's current location address is 1157 E 42nd St, Odessa, Texas. You can contact this provider via phone number 4322426655 and fax number 8323795175. The mailing address for Keerthi K Miryala is 1157 E 42nd St, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keerthi K Miryala |
|---|---|
| Address | 1157 E 42nd St, Odessa, Texas |
| Phone Number | 4322426655 |
| Fax Number | 8323795175 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1437247897 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2021-02-15 |
Provider Mailing Address Detail
| Address | 1157 E 42nd St |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 797627723 |
| Phone Number | 4322426655 |
| Fax Number | 8323795175 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 25845 |
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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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What is the unique identification code assigned to Keerthi K Miryala by the Centers for Medicare & Medicaid Services?
The Keerthi K Miryala has been issued the NPI (National Provider Identifier) 1437247897. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Keerthi K Miryala's facilities are situated?
The facilities of Keerthi K Miryala are physically located at the following address: 1157 E 42Nd St, Odessa, TX, 797627723.
What is Keerthi K Miryala's specialized field of practice, and what is the corresponding taxonomy classification code?
The Keerthi K Miryala's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1437247897 to Keerthi K Miryala?
The Centers for Medicare & Medicaid Services assigned the 1437247897 to Keerthi K Miryala on 2006-10-11.
As of what date were the Keerthi K Miryala's details last updated?
The information pertaining to the Keerthi K Miryala, including its address, specialty, and other details, was most recently updated on 2021-02-15.