National Provider Identifier
Ravi Patrick Padmanabha, DDS
Ravi Patrick Padmanabha, DDS is listed in the NPPES registry with a primary specialty of Dentist in Le Roy, NY and a listed phone number of (585) 768-6060.
Profile Overview
- NPI
- 1336345115
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- June 26, 2007
- Last Updated
- July 08, 2007
Practice Location
- 20 Lake St
- Le Roy, NY 14482-1046
Phone: (585) 768-6060
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1336345115
- Entity Type
- Individual
- Last Name
- Padmanabha
- First Name
- Ravi
- Middle Name
- Patrick
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 20 Lake St
- Mailing City
- Le Roy
- Mailing State
- NY
- Mailing ZIP Code
- 14482-1046
- Mailing Country
- US
- Mailing Phone
- (585) 768-6060
- Mailing Fax
- (585) 768-2211
- Practice Street Address
- 20 Lake St
- Practice City
- Le Roy
- Practice State
- NY
- Practice ZIP Code
- 14482-1046
- Practice Country
- US
- Practice Phone
- (585) 768-6060
- Practice Fax
- (585) 768-2211
- Enumeration Date
- June 26, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)