Supriya Goverdhanam in Washougal - Dentist
Supriya Goverdhanam - NPI 1528288461
Supriya Goverdhanam is a Dentist in Washougal, Washington. Supriya Goverdhanam practices all healthcare services and medical treatments related to Dentist. The NPI Number for Supriya Goverdhanam is 1528288461. The last update date is 2008-08-28.
Supriya Goverdhanam's current location address is 291 C St Unit 112, Washougal, Washington. You can contact this provider via phone number 7348465153. The mailing address for Supriya Goverdhanam is 291 C St Unit 112, Washougal, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Supriya Goverdhanam |
|---|---|
| Address | 291 C St Unit 112, Washougal, Washington |
| Phone Number | 7348465153 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | BDS, MS |
NPI Number Detail
| NPI Number | 1528288461 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2008-08-28 |
Provider Mailing Address Detail
| Address | 291 C St Unit 112 |
|---|---|
| City | Washougal |
| State | Washington (WA) |
| Post Code | 986712168 |
| Phone Number | 7348465153 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00010217 |
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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 10-digit identification code issued to Supriya Goverdhanam by the Centers for Medicare & Medicaid Services?
The Supriya Goverdhanam has been assigned the NPI (National Provider Identifier) 1528288461 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Supriya Goverdhanam is geographically located?
The Supriya Goverdhanam is physically situated at the following location: 291 C St Unit 112, Washougal, WA, 986712168.
What is the Supriya Goverdhanam's specialty and taxonomy code?
The Supriya Goverdhanam's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Supriya Goverdhanam receive its 1528288461 assignment from the Centers for Medicare & Medicaid Services?
The Supriya Goverdhanam was assigned its 1528288461 by the Centers for Medicare & Medicaid Services on 2007-04-25.
As of what date was the information pertaining to Supriya Goverdhanam, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Supriya Goverdhanam, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-28.