Provider Demographics
NPI:1417307430
Name:JOSHUA, RAMYA RAO (DMD)
Entity Type:Individual
Prefix:
First Name:RAMYA
Middle Name:RAO
Last Name:JOSHUA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:RAMYA
Other - Middle Name:RAO
Other - Last Name:JOSHUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:712 WOODEWIND DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3972
Mailing Address - Country:US
Mailing Address - Phone:331-457-2259
Mailing Address - Fax:
Practice Address - Street 1:11 W DOWNER PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-5134
Practice Address - Country:US
Practice Address - Phone:331-457-2259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019030738122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist