Madhavi Arumilli, DDS

Individual provider Active NPI Dentist · Sunnyvale, CA

NPI 1194887935 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1194887935
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
46550 (CA)
Practice address
1050 E El Camino Real
Sunnyvale, CA 94087-3754
Phone
(408) 243-1810
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160805001468 CA Order and Referring Only - Dentist
Practitioner - Dentist
8527352020

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 46550 CA Yes

Addresses

Primary practice location

1050 E El Camino Real
Sunnyvale, CA 94087-3754

Mailing address

3612 Flora Vista Ave Apt 161
Santa Clara, CA 95051-3522
Phone (408) 243-1810

Other names

  • Madhavi Yella Former name

Other providers in Sunnyvale, CA

All providers in Sunnyvale, CA · Dentist in California

Sources for this page

Verify at the official NPI Registry.