Individual
DR. SUJATHA VEMURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3925 MINNESOTA AVE NE, WASHINGTON, DC 20019-2662
(703) 347-4577
Mailing address
350 N CLARK ST, STE 600, C/O KOS SERVICES, CHICAGO, IL 60654
(703) 347-4577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1000463
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024905300
—
DC
01
—
11640775
CAQH
—
Enumeration date
12/18/2006
Last updated
09/26/2013
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