Provider Demographics
NPI:1053865063
Name:PAREPALLY, SINDHU
Entity type:Individual
Prefix:
First Name:SINDHU
Middle Name:
Last Name:PAREPALLY
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 1:1155 N CAPITOL AVE
Mailing Address - Street 2:SUITE 160
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-2570
Mailing Address - Country:US
Mailing Address - Phone:408-272-2720
Mailing Address - Fax:
Practice Address - Street 1:1155 N CAPITOL AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-2570
Practice Address - Country:US
Practice Address - Phone:408-272-2720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100542122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist