Provider Demographics
NPI:1346382678
Name:GOWDUCHERUVU, RAMANI (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAMANI
Middle Name:
Last Name:GOWDUCHERUVU
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 1:5198 DINANT DR
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-6532
Mailing Address - Country:US
Mailing Address - Phone:571-423-7555
Mailing Address - Fax:
Practice Address - Street 1:3400 MCCLURE BRIDGE RD
Practice Address - Street 2:BLDG G, SUITES B AND C
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-8751
Practice Address - Country:US
Practice Address - Phone:770-476-8576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0161481223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery