Provider Demographics
NPI:1578789418
Name:KATARIA, SADHU RAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:SADHU
Middle Name:RAM
Last Name:KATARIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 W CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-5658
Mailing Address - Country:US
Mailing Address - Phone:610-436-9570
Mailing Address - Fax:610-436-9667
Practice Address - Street 1:1217 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-5658
Practice Address - Country:US
Practice Address - Phone:610-436-9570
Practice Address - Fax:610-436-9667
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018075L1223G0001X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223G0001XDental ProvidersDentistGeneral Practice
Not Answered1223P0700XDental ProvidersDentistProsthodontics