Anitha Reddy Doma in Grand Rapids - General Practice
Anitha Reddy Doma - NPI 1851583660
Anitha Reddy Doma is a General Practice in Grand Rapids, Michigan. Anitha Reddy Doma practices all healthcare services and medical treatments related to General Practice. The NPI Number for Anitha Reddy Doma is 1851583660. The last update date is 2010-05-06.
Anitha Reddy Doma's current location address is 260 Jefferson Ave Se Ste 221, Grand Rapids, Michigan. You can contact this provider via phone number 6164591267 and fax number 6164590673. The mailing address for Anitha Reddy Doma is 260 Jefferson Ave Se Ste 221, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anitha Reddy Doma |
|---|---|
| Address | 260 Jefferson Ave Se Ste 221, Grand Rapids, Michigan |
| Phone Number | 6164591267 |
| Fax Number | 6164590673 |
| Sole Proprietor | N |
| Credentials | BDS |
NPI Number Detail
| NPI Number | 1851583660 |
|---|---|
| Provider Enumeration Date | 2007-08-15 |
| Last Updated Date | 2010-05-06 |
Provider Mailing Address Detail
| Address | 260 Jefferson Ave Se Ste 221 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495034597 |
| Phone Number | 6164591267 |
| Fax Number | 6164590673 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901019524 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Anitha Reddy Doma?
The Anitha Reddy Doma has been issued the NPI (National Provider Identifier) 1851583660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Anitha Reddy Doma's facilities are geographically located?
The facilities of Anitha Reddy Doma are physically situated at the following location: 260 Jefferson Ave Se Ste 221, Grand Rapids, MI, 495034597.
What is the area of specialization for Anitha Reddy Doma, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Anitha Reddy Doma is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Anitha Reddy Doma receive the assignment of its 1851583660 from the Centers for Medicare & Medicaid Services?
The Anitha Reddy Doma was issued its 1851583660 by the Centers for Medicare & Medicaid Services on 2007-08-15.
As of what date were the details related to Anitha Reddy Doma most recently updated or revised?
The information pertaining to Anitha Reddy Doma, including its address, specialty, and other relevant details, was last updated or revised on 2010-05-06.
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