Mayura K Ginde, DDS
Individual provider Active NPI Dentist · Glenshaw, PA
NPI 1841481371 · NPPES record last updated Aug 8, 2007
Key facts
- NPI
- 1841481371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS037133 (PA)
- Practice address
- 1724 Mount Royal Blvd
Glenshaw, PA 15116-2115 - Phone
- (412) 213-1999
- Fax
- (412) 213-6985
- NPI assigned
- Aug 8, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160229001975 | PA | Order and Referring Only - Other (Physician) |
5799080735 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS037133 | PA | Yes |
Addresses
Primary practice location
1724 Mount Royal Blvd
Glenshaw, PA 15116-2115
Mailing address
926 Great Pond Dr
Suite 2003
Altamonte Springs, FL 32714-7244
Phone (407) 772-5124
Other names
- Mayura Ramesh Pradhan
Other providers in Glenshaw, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.