Provider Demographics
NPI:1629255971
Name:VADDI, HARIPRIYA
Entity Type:Individual
Prefix:DR
First Name:HARIPRIYA
Middle Name:
Last Name:VADDI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:HARIPRIYA
Other - Middle Name:
Other - Last Name:CHERUKURU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5518 N 149TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-4349
Mailing Address - Country:US
Mailing Address - Phone:402-964-7411
Mailing Address - Fax:
Practice Address - Street 1:5518 N 149 STREET
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116
Practice Address - Country:US
Practice Address - Phone:402-734-4110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6450122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist