National Provider Identifier
Sai Venkata Mahesh Guduru
Sai Venkata Mahesh Guduru is listed in the NPPES registry with a primary specialty of Dentist in Canandaigua, NY and a listed phone number of (617) 416-0270.
Profile Overview
- NPI
- 1326278300
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- July 23, 2009
- Last Updated
- May 08, 2025
Practice Location
- 5015 W Ridge Run
- Canandaigua, NY 14424-2731
Phone: (617) 416-0270
Mailing Address
- 430 W Erie St
- Ste 200
- Chicago, IL 60654-6914
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1326278300
- Entity Type
- Individual
- Last Name
- Guduru
- First Name
- Sai
- Middle Name
- Venkata Mahesh
- Mailing Street Address
- 430 W Erie St
- Mailing Address Line 2
- Ste 200
- Mailing City
- Chicago
- Mailing State
- IL
- Mailing ZIP Code
- 60654-6914
- Mailing Country
- US
- Mailing Phone
- (312) 274-0308
- Mailing Fax
- (312) 944-9499
- Practice Street Address
- 5015 W Ridge Run
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-2731
- Practice Country
- US
- Practice Phone
- (617) 416-0270
- Enumeration Date
- July 23, 2009
- Last Updated
- May 08, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 08, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)