Individual
SANGEETHA RAGHAVENDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
391 MONTGOMERY ST, CHICOPEE, MA 01020-1929
(413) 592-8099
(413) 592-5839
Mailing address
391 MONTGOMERY ST, CHICOPEE, MA 01020-1929
(413) 592-8099
(413) 592-5839
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
21113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1426492
UNITED CONCORDIA
CA
01
—
X11395
BCBS MA
MA
Enumeration date
04/03/2007
Last updated
07/08/2007
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