Provider Demographics
NPI:1962850503
Name:DUKKA, HIMA BINDU (BDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:HIMA BINDU
Middle Name:
Last Name:DUKKA
Suffix:
Gender:F
Credentials:BDS, MSD
Other - Prefix:DR
Other - First Name:HIMA BINDU
Other - Middle Name:
Other - Last Name:DUKKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BDS, MSD
Mailing Address - Street 1:501 S PRESTON ST RM 335L
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1701
Mailing Address - Country:US
Mailing Address - Phone:502-852-1817
Mailing Address - Fax:
Practice Address - Street 1:501 S PRESTON ST
Practice Address - Street 2:ROOM 312
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1701
Practice Address - Country:US
Practice Address - Phone:502-852-1817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY97071223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics