Provider Demographics
NPI:1164509055
Name:RAMANI, PADMALEKHA (DMD)
Entity Type:Individual
Prefix:MRS
First Name:PADMALEKHA
Middle Name:
Last Name:RAMANI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57116 10 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-8327
Mailing Address - Country:US
Mailing Address - Phone:248-615-3845
Mailing Address - Fax:
Practice Address - Street 1:57116 10 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-8327
Practice Address - Country:US
Practice Address - Phone:248-255-8691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901018327122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist