CHANDRIKA SRUTHI DOKKU (NPI# 1467948604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467948604 |
| Entity Type | Individual |
| Full Name | CHANDRIKA SRUTHI DOKKU |
| Practice Address |
2321 Dulles Station Blvd Ste B Herndon VA 20171-6278 |
| Mailing Address |
180 High Park Ln Apt 726 Silver Spring MD 20910-4173 |
| Practice Telephone | 7034249555 |
| Mailing Telephone | 3016584936 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401416725 | VA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DEA | FD8986727 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 951 Prospect Ave, Bronx, NY 104592967 | 7188608440 |
| Street Address |
2321 DULLES STATION BLVD STE B |
| City | HERNDON |
| State | VA |
| Zip Code | 20171-6278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587312 | Herndon Modern Dentistry, PC | Dentist | 2537 John Milton Dr., Reston, VA 20171 | 2020-01-20 |
| 1689196529 | Susan Ngatia | Occupational Therapist | 2978 Centerville Rd., Herndon, VA 20171 | 2017-07-12 |
| 1932634375 | Angelic Home Care,llc | Home Health | 13800 Coppermine Road, Suite 175, Herndon, VA 20171 | 2017-04-24 |
| 1952855348 | Attentive Home Care Inc | Registered Nurse | 13578 Cedar Run Ln, Herndon, VA 20171 | 2016-08-15 |
| 1336531391 | Daniela Maria Querubin Mesina | Physical Therapist | 2978 Centreville Rd, Herndon, VA 20171 | 2015-02-28 |
| 1740602291 | Herndon Dental Arts At Woodland Park, Pllc | Dentist | 12973 Highland Crossing Drive, Ste B, Herndon, VA 20171 | 2014-01-16 |
| 1295165801 | Grace Greenan | Counselor | 13600 Frying Pan Road, Herndon, VA 20171 | 2013-11-18 |
| 1356770390 | Eunjoo Lee | Behavioral Analyst | 12936 Cedar Glen Lane, Herndon, VA 20171 | 2013-11-08 |
| 1043539919 | Wesam Hassen Moustafa Hussein | Internal Medicine | 13326 Horsepen Woods Lane, Herndon, VA 20171 | 2010-05-18 |
| 1740516996 | Fadi Alhrashi | Dentist | 13609 Flying Squirrel Dr, Herndon, VA 20171 | 2009-10-22 |
| Find all providers in zip 20171 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770133340 | Gabriella C Basha | Dentist | 131 Elden St Ste 130, Herndon, VA 20170-4835 | 2019-09-16 |
| 1508339664 | Ashima Ahuja | Dentist | 201 Elden St Ste 210, Herndon, VA 20170-4853 | 2019-01-10 |
| 1992103543 | Dental Professionals of Virginia, P.C. | Dentist | 1020 Elden St, Suite 106, Herndon, VA 20170-3843 | 2014-12-15 |
| 1942604988 | Manpreet Kaur | Dentist | 13102 Weathered Oak Ct, Herndon, VA 20171-2943 | 2014-10-20 |
| 1740602291 | Herndon Dental Arts At Woodland Park, Pllc | Dentist | 12973 Highland Crossing Drive, Ste B, Herndon, VA 20171 | 2014-01-16 |
| 1487907622 | Ridhi Doshi-shah | Dentist | 13455 Farmcrest Ct, Apt # 732, Herndon, VA 20171-3154 | 2012-10-25 |
| 1457608986 | Dental Center of Herndon | Dentist | 1110 Elden St., Suite E108, Herndon, VA 20170 | 2012-08-15 |
| 1316209620 | George Gotsiridze | Dentist | 12919 Alton Sq Apt #209, Herndon, VA 20170 | 2012-06-12 |
| 1326315037 | Neibauer Dental Care, PC | Dentist | 12973 Highland Crossing Dr Ste E, Herndon, VA 20171-5890 | 2011-11-23 |
| 1821326604 | Hyuksoo Kwon | Dentist | 346 Elden St, Herndon, VA 20170-4818 | 2009-12-07 |
| Find all providers in HERNDON | ||||
Please comment or provide details below to improve the information on CHANDRIKA SRUTHI DOKKU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.