1396250510 NPI number — ABBEVILLE DENTISTRY - LEVELLAND PLLC

Table of content: DR. RAMA DEVI BANDI M.D. (NPI 1245441450)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396250510 NPI number — ABBEVILLE DENTISTRY - LEVELLAND PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABBEVILLE DENTISTRY - LEVELLAND PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396250510
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/05/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 437169
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40253-7169
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
701 8TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEVELLAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79336-4525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-894-3535
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/11/2017

Additional Information

Authorized Official

Authorized Official Last Name:
REIBEL
Authorized Official First Name:
JEFF
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
502-254-8500

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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