Provider Demographics
NPI:1811275985
Name:GUNDARPI THIPPAREDDY, SINDHURA
Entity type:Individual
Prefix:DR
First Name:SINDHURA
Middle Name:
Last Name:GUNDARPI THIPPAREDDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ROLLING RIDGE RD APT B
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-1537
Mailing Address - Country:US
Mailing Address - Phone:601-832-6523
Mailing Address - Fax:
Practice Address - Street 1:1827 E PARK ROW DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-4638
Practice Address - Country:US
Practice Address - Phone:817-275-1523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-23
Last Update Date:2011-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27253122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist