Provider Demographics
NPI:1083986533
Name:CHAVALI, RAMAKIRAN VENKATA (BDS)
Entity Type:Individual
Prefix:
First Name:RAMAKIRAN
Middle Name:VENKATA
Last Name:CHAVALI
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SDB 603 1919 7TH AVE S
Mailing Address - Street 2:UNIVERSITY OF ALABAMA BIRMINGHAM SCHOOL OF DENTISTRY
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-0001
Mailing Address - Country:US
Mailing Address - Phone:205-975-9722
Mailing Address - Fax:205-975-4747
Practice Address - Street 1:127 CAHABA RIVER PARC
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-3250
Practice Address - Country:US
Practice Address - Phone:205-514-5667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX273711223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics