Dr Revanth Chada, DDS - Dentist in Louisville, KY

Dr Revanth Chada, DDS is a Dentist - Endodontics based in Louisville, Kentucky. Dr Revanth Chada is licensed to practice in Kentucky (license number 10740) and his current practice location is 11212 Professional Park Dr, Louisville, Kentucky. He can be reached at his office (for appointments etc.) via phone at (612) 735-8159.

NPI number for Dr Revanth Chada is 1528415742 and his current mailing address is 11212 Professional Park Dr, Louisville, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528415742.

Contact Information

Dr Revanth Chada, DDS
11212 Professional Park Dr,
Louisville, KY 40291-4476
(612) 735-8159
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Revanth Chada
GenderMale
SpecialityDentist - Endodontics
Location11212 Professional Park Dr, Louisville, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528415742
  • Provider Enumeration Date: 05/17/2016
  • Last Update Date: 10/03/2023

Medical Identifiers

Medical identifiers for Dr Revanth Chada such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528415742NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D13666 (Minnesota)Secondary
122300000XDentist 10740 (Kentucky)Secondary
1223E0200XDentist - Endodontics 10740 (Kentucky)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Revanth Chada is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Revanth Chada, DDS
11212 Professional Park Dr,
Louisville, KY 40291-4476

Ph: () -
Dr Revanth Chada, DDS
11212 Professional Park Dr,
Louisville, KY 40291-4476

Ph: (612) 735-8159

Reviews and Comments


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