Provider Demographics
NPI:1396378857
Name:ADABI, SNIGDHA KALVAKOLANU
Entity Type:Individual
Prefix:
First Name:SNIGDHA
Middle Name:KALVAKOLANU
Last Name:ADABI
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 1:11645 MONUMENT DR UNIT 1216
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-1273
Mailing Address - Country:US
Mailing Address - Phone:443-472-1807
Mailing Address - Fax:
Practice Address - Street 1:11157 STATE ROAD 70 E
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-8405
Practice Address - Country:US
Practice Address - Phone:941-499-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0629781223P0221X
FLDN247151223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty