Provider Demographics
NPI:1396199014
Name:JUJJAVARAPU, SINDHU
Entity Type:Individual
Prefix:
First Name:SINDHU
Middle Name:
Last Name:JUJJAVARAPU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 CLEAR SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23834-5872
Mailing Address - Country:US
Mailing Address - Phone:048-691-3062
Mailing Address - Fax:
Practice Address - Street 1:12924 WILLOW CHASE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5641
Practice Address - Country:US
Practice Address - Phone:832-930-7872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-19
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX361181223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry