Gopichand Vallabhaneni, | |
617 Riverside Ave, Burlington, VT 05401-1601 | |
(802) 864-6309 | |
Not Available |
Full Name | Gopichand Vallabhaneni |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 617 Riverside Ave, Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376638536 | NPI | - | NPPES |
0160002181 | Other | VT | STATE LICENSE |
1010394 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0160002181 (Vermont) | Primary |
Entity Name | Community Health Centers Of Burlington Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689678963 PECOS PAC ID: 2062491251 Enrollment ID: O20040720000792 |
Mailing Address | Practice Location Address |
---|---|
Gopichand Vallabhaneni, 617 Riverside Ave, Burlington, VT 05401-1601 Ph: (802) 864-6309 | Gopichand Vallabhaneni, 617 Riverside Ave, Burlington, VT 05401-1601 Ph: (802) 864-6309 |
Dr. Dara Chira, Dmd, DARA CHIRA, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1073 North Ave, Burlington, VT 05401 Phone: 802-652-1010 Fax: 802-652-0062 | |
Dr. Patrick J Paldino, DDS Dentist Medicare: Medicare Enrolled Practice Location: 789 Pine St, Burlington, VT 05401 Phone: 802-862-1939 Fax: 802-862-2608 | |
Dr. David R Blanck, DDS Dentist Medicare: Medicare Enrolled Practice Location: 66 Colchester Ave, Burlington, VT 05401 Phone: 802-862-8348 | |
Dr. Randall Armand Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 66 Colchester Avenue, Burlington, VT 05401 Phone: 802-862-8348 Fax: 802-862-6823 | |
Dr. David Charles Averill, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 239 Pearl St, Burlington, VT 05401 Phone: 802-864-5315 Fax: 802-864-4434 | |
Dr. Paul A Averill, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 239 Pearl St, Burlington, VT 05401 Phone: 802-864-5315 | |
Dr. Victor L Ratkus, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 227 Colchester Ave, Burlington, VT 05401 Phone: 802-864-0461 Fax: 802-864-0201 |