| Swetha Reddy & Pavan Kancharla Llc | |
|
190 Malabar Rd. Suite 104 Palm Bay FL 32907 | |
| (321) 914-0080 | |
| (321) 241-3002 |
| Full Name | Swetha Reddy & Pavan Kancharla Llc |
|---|---|
| Speciality | Dentist |
| Location | 190 Malabar Rd., Palm Bay, Florida |
| Authorized Official Name and Position | Swetha G Reddy (OWNER) |
| Authorized Official Contact | 3219140080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swetha Reddy & Pavan Kancharla Llc 190 Malabar Rd Sw Ste 104 Palm Bay FL 32907-2975 Ph: (321) 576-4825 | Swetha Reddy & Pavan Kancharla Llc 190 Malabar Rd. Suite 104 Palm Bay FL 32907 Ph: (321) 914-0080 |
| NPI Number | 1770224107 |
|---|---|
| Provider Enumeration Date | 04/07/2022 |
| Last Update Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770224107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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