Individual
SURYA CHAKRAVARTHY PAMULAPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS, MPH
Contact information
Practice address
6016 GLENWAY AVE, CINCINNATI, OH 45211-6318
(513) 697-2640
Mailing address
6476 TYLERSVILLE RD, WEST CHESTER, OH 45069-5412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.026329
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2018
Last updated
01/28/2022
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