Dr. Raghavendra S Challa, DDS
Dentist, General Practice in Holyoke, Massachusetts
1508320532- Practice location
- 230 Maple St Ste 1, Holyoke, MA 01040-5140
- Phone
- 413-420-2200
- Fax
- 413-539-9472
- Last updated
- March 25, 2024
Raghavendra Sumanth Phani Challa is a Dentist, General Practice based in Holyoke, MA. Raghavendra Sumanth Phani Challa practices in Holyoke, MA and has the professional credentials of DDS. The NPI Number for Raghavendra Sumanth Phani Challa is 1508320532 and holds a License No. DEN.00203866 (CO). The current practice location address for Raghavendra Sumanth Phani Challa is 230 Maple St Ste 1, Holyoke, MA 01040-5140 and can be reached out via phone at 413-420-2200 and via fax at 413-539-9472.
Provider Profile Details
- NPI Number
- 1508320532
- Provider Name
- Raghavendra Sumanth Phani Challa
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 230 Maple St Ste 1, Holyoke, MA 01040-5140
- Phone Number
- 413-420-2200
- Fax Number
- 413-539-9472
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 23, 2019
- Last Update Date
- March 25, 2024
- Certification Date
- March 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 230 Maple St Ste 1
Holyoke, MA 01040-5140 - City
- Holyoke
- State
- Massachusetts
- Zip
- 01040-5140
- Phone Number
- 413-420-2200
- Fax Number
- 413-539-9472
Provider Business Mailing Address Details
- Address
- 230 Maple St Ste 1
Holyoke, MA 01040-5140 - City
- Holyoke
- State
- MA
- Zip
- 01040-5140
- Phone Number
- 413-420-2200
- Fax Number
- 413-539-9472
License Information
- License Number (1)
- DEN.00203866
- License State (1)
- CO
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- DN1858555
- License State (2)
- MA
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Raghavendra S Challa, DDS?
The NPI number of Dr. Raghavendra S Challa, DDS is 1508320532. It was assigned on January 23, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Raghavendra S Challa, DDS?
Dr. Raghavendra S Challa, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CO under license number DEN.00203866.
Where does Dr. Raghavendra S Challa, DDS practice?
The practice location is 230 Maple St Ste 1, Holyoke, MA 01040-5140. The office can be reached at 413-420-2200 (phone) or 413-539-9472 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508320532 directly on the NPPES registry website.