Provider Demographics
NPI:1225175904
Name:TOPRANI, SUBHADRA C (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUBHADRA
Middle Name:C
Last Name:TOPRANI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3524 US HIGHWAY 9W
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-1416
Mailing Address - Country:US
Mailing Address - Phone:845-691-9478
Mailing Address - Fax:845-691-9479
Practice Address - Street 1:3524 US HIGHWAY 9W
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-1416
Practice Address - Country:US
Practice Address - Phone:845-691-9478
Practice Address - Fax:845-691-9479
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0369661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00797719Medicaid