Aishwarya Abbareddy, DMD
Individual provider Active NPI Dentist · Wichita, KS
NPI 1306361571 · NPPES record last updated Sep 26, 2020
Key facts
- NPI
- 1306361571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 61430 (KS)
- Practice address
- 825 S Hillside St
Wichita, KS 67211-3005 - Phone
- (316) 681-1530
- NPI assigned
- Aug 9, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61430 | KS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aishwarya Abbareddy DMD LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61430 | KS | Yes |
Addresses
Primary practice location
825 S Hillside St
Wichita, KS 67211-3005
Mailing address
825 S Hillside St
Wichita, KS 67211-3005
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.