RAJAMANOJ KONDAVEETI (NPI# 1033770227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033770227 |
Entity Type | Individual |
Full Name | RAJAMANOJ KONDAVEETI |
Credential | DMD |
Practice Address |
3873 Tx-64 Tyler TX 75704 |
Mailing Address |
4901 Kinsey Dr Apt 913 Tyler TX 75703-3022 |
Practice Telephone | 9035934867 |
Mailing Telephone | 4199730934 |
Enumeration Date | 2019-06-27 |
Last Update Date | 2019-06-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
35129 | TX | Dental Providers |
Street Address |
3873 TX-64 |
City | TYLER |
State | TX |
Zip Code | 75704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194325415 | Rupal R Patel | Pharmacist | 3820 Tx 64, Tyler, TX 75704 | 2020-10-27 |
1932757945 | Gracelyn Hernandez Kuester | Technician | 14320 Country Road 420, Tyler, TX 75704 | 2019-09-03 |
1063070209 | Susan Michele Whitaker | Counselor | The Beginning, 114 Jordan Plaza Blvd Suite 302, Tyler, TX 75704 | 2019-06-03 |
1649836768 | Tyla Sherrie' Tarrant | Licensed Vocational Nurse | 3050 Cr 427, #502, Tyler, TX 75704 | 2019-05-14 |
1437458874 | North Mesa Dental, PC | Dentist | 3864 Hwy 64 West, Tyler, TX 75704 | 2011-03-24 |
1093025751 | Zana Elliot Enterprises LLC | Nurse Practitioner | 12751 Westbrook Dr, Tyler, TX 75704 | 2010-10-15 |
1710036454 | Tammy Jimenez | Dietitian, Registered | 5555 W. Twin Lakes Dr., Tyler, TX 75704 | 2007-01-10 |
1063023935 | Shanika Lanell Grant | Licensed Vocational Nurse | 134 Patton Ln, Tyler, TX 75704-2004 | 2020-08-13 |
1194342410 | Shanequia Dianne Flowers | Licensed Vocational Nurse | 404 Lemay Dr, Tyler, TX 75704-2031 | 2020-07-02 |
1396774071 | Omnicare Pharmacy of Texas 2, Lp | Pharmacy | 105 Jordan Plaza Blvd, Tyler, TX 75704-2048 | 2006-07-03 |
Find all providers in zip 75704 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093329534 | Professional Dental Alliance of Tx 43004 Pllc | Dentist | 212 Old Grande Blvd Ste B224, Tyler, TX 75703-4277 | 2020-09-02 |
1679183446 | Valerie Marie Cano | Dentist | 7223 Crosswater, Tyler, TX 75703-0719 | 2020-08-05 |
1538720016 | Trevor Justin Wortley | Dentist | 8942 S Broadway Ave Ste 128, Tyler, TX 75703-5443 | 2019-06-25 |
1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
1992217947 | Charles Cox IIi | Dentist | 1327 S Baxter Ave, Tyler, TX 75701-3404 | 2017-10-31 |
1326559022 | Blu Dental Group PC | Dentist | 3975 Old Jacksonville Rd, Tyler, TX 75701-8519 | 2017-10-20 |
1629598586 | Kunduru Dental Pllc | Dentist | 4164 S Broadway Ave, Tyler, TX 75701-8719 | 2017-06-22 |
1639549454 | Pine Creek Dental, Pllc | Dentist | 7925 S Broadway Ave Ste 300, Tyler, TX 75703-5227 | 2015-10-06 |
Find all providers in TYLER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.