Ravi C Maddali, Dds, Pc - Dental Clinic in New York, NY

Ravi C Maddali, Dds, Pc is a dental clinic (Dentist - General Practice) in New York, New York. The current practice location for Ravi C Maddali, Dds, Pc is 639 W 173rd St Apt 1a, New York, New York. For appointments, you can reach them via phone at (212) 928-4480. The mailing address for Ravi C Maddali, Dds, Pc is 639 W 173rd St Apt 1a, New York, New York and phone number is (212) 928-4480.

Ravi C Maddali, Dds, Pc is licensed to practice in New York (license number 045922-1) and its NPI number is 1114178795. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (212) 928-4480.

Contact Information

Ravi C Maddali, Dds, Pc
639 W 173rd St Apt 1a
New York
NY 10032-1426
(212) 928-4480
(212) 928-8389

Dental Care Clinic Profile

Full NameRavi C Maddali, Dds, Pc
SpecialityDentist - General Practice
Location639 W 173rd St Apt 1a, New York, New York
Authorized Official Name and PositionRavi C Maddali (PRESIDENT)
Authorized Official Contact2129284480
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ravi C Maddali, Dds, Pc
639 W 173rd St Apt 1a
New York
NY 10032-1426

Ph: (212) 928-4480
Ravi C Maddali, Dds, Pc
639 W 173rd St Apt 1a
New York
NY 10032-1426

Ph: (212) 928-4480

NPI Details:

NPI Number1114178795
Provider Enumeration Date10/01/2008
Last Update Date11/21/2011

Medical Identifiers

Medical identifiers for Ravi C Maddali, Dds, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114178795NPI-NPPES
00445625MedicaidNY
02559039MedicaidNY
01704829MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 045922-1 (New York)Primary
1223G0001XDentist - General Practice 051162-1 (New York)Secondary
1223G0001XDentist - General Practice 034679-1 (New York)Secondary

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