Provider Demographics
NPI:1851918734
Name:KARAMCHETI, SOWMYA LAKSHMI (DDS)
Entity Type:Individual
Prefix:
First Name:SOWMYA LAKSHMI
Middle Name:
Last Name:KARAMCHETI
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 1:2375 COMMONWEALTH DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1638
Mailing Address - Country:US
Mailing Address - Phone:349-735-8734
Mailing Address - Fax:
Practice Address - Street 1:2375 COMMONWEALTH DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1638
Practice Address - Country:US
Practice Address - Phone:434-973-5873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-26
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014178531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty