Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
RAVI C MADDALI, DDS, PC
Active
Organization
RAVI C MADDALI, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI C MADDALI DDS (PRESIDENT)
(212) 928-4480
Entity
Organization
Contact information
Practice address
639 W 173RD ST APT 1A, NEW YORK, NY 10032-1426
(212) 928-4480
(212) 928-8389
Mailing address
639 W 173RD ST APT 1A, NEW YORK, NY 10032-1426
(212) 928-4480
(212) 928-8389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
034679-1
NY
1223G0001X
General Practice Dentistry
Primary
045922-1
NY
1223G0001X
General Practice Dentistry
051162-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00445625
—
NY
05
—
01704829
—
NY
05
—
02559039
—
NY
Enumeration date
10/01/2008
Last updated
11/21/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up