Provider Demographics
NPI:1841557915
Name:PAIMAGHAM, BRAMARAMBA SRUTHI (DDS)
Entity Type:Individual
Prefix:
First Name:BRAMARAMBA
Middle Name:SRUTHI
Last Name:PAIMAGHAM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20680 SENECA MEADOWS PKWY STE 218
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-7029
Mailing Address - Country:US
Mailing Address - Phone:240-813-9111
Mailing Address - Fax:888-204-0374
Practice Address - Street 1:20680 SENECA MEADOWS PKWY STE 218
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876
Practice Address - Country:US
Practice Address - Phone:240-813-9111
Practice Address - Fax:888-204-0374
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO106631223D0001X, 1223P0221X
MD163521223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223D0001XDental ProvidersDentistDental Public Health