Kalyan C Kondreddi, DMD
Dentist, General Practice in Medford, Massachusetts
1962001149- Practice location
- 30 Main St, Medford, MA 02155-7102
- Phone
- 781-391-2440
- Fax
- —
- Last updated
- October 28, 2022
Kalyan Chakravarthy Kondreddi is a Dentist, General Practice based in Medford, MA. Kalyan Chakravarthy Kondreddi practices in Medford, MA and has the professional credentials of DMD. The NPI Number for Kalyan Chakravarthy Kondreddi is 1962001149 and holds a License No. D14496 (MN). The current practice location address for Kalyan Chakravarthy Kondreddi is 30 Main St, Medford, MA 02155-7102 and can be reached out via phone at 781-391-2440.
Provider Profile Details
- NPI Number
- 1962001149
- Provider Name
- Kalyan Chakravarthy Kondreddi
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 30 Main St, Medford, MA 02155-7102
- Phone Number
- 781-391-2440
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 20, 2020
- Last Update Date
- October 28, 2022
- Certification Date
- October 28, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Main St
Medford, MA 02155-7102 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-7102
- Phone Number
- 781-391-2440
Provider Business Mailing Address Details
- Address
- 30 Main St
Medford, MA 02155-7102 - City
- Medford
- State
- MA
- Zip
- 02155-7102
- Phone Number
- 781-391-2440
License Information
- License Number
- D14496
- License State
- MN
- Taxonomy
- 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 Kalyan C Kondreddi, DMD?
The NPI number of Kalyan C Kondreddi, DMD is 1962001149. It was assigned on October 20, 2020 and is currently active in the NPPES registry.
What is the specialty of Kalyan C Kondreddi, DMD?
Kalyan C Kondreddi, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MN under license number D14496.
Where does Kalyan C Kondreddi, DMD practice?
The practice location is 30 Main St, Medford, MA 02155-7102. The office can be reached at 781-391-2440 (phone).
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 1962001149 directly on the NPPES registry website.