Provider Demographics
NPI:1740966951
Name:VEDA & KARTHIK GORREPATI PLLC
Entity type:Organization
Organization Name:VEDA & KARTHIK GORREPATI PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:
Authorized Official - First Name:JHANSI LAKSHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:BODAPATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-535-2233
Mailing Address - Street 1:10838 DOWNY CUP DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-2614
Mailing Address - Country:US
Mailing Address - Phone:781-535-2233
Mailing Address - Fax:
Practice Address - Street 1:1060 N MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-3366
Practice Address - Country:US
Practice Address - Phone:817-857-2050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-22
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty