Provider Demographics
NPI:1801074489
Name:BYALALU KRISHNAMURTHY, PADMINI (DDS)
Entity type:Individual
Prefix:
First Name:PADMINI
Middle Name:
Last Name:BYALALU KRISHNAMURTHY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 ANO NUEVO AVE
Mailing Address - Street 2:905
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4177
Mailing Address - Country:US
Mailing Address - Phone:408-245-8173
Mailing Address - Fax:
Practice Address - Street 1:395 ANO NUEVO AVE
Practice Address - Street 2:905
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4177
Practice Address - Country:US
Practice Address - Phone:408-245-8173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA564991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice