Healthcare Provider Details

I. General information

NPI: 1497199509
Provider Name (Legal Business Name): ARTHI KUMAR D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARTHI ASOKA RAJAN D.D.S.

II. Dates (important events)

Enumeration Date: 04/19/2013
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 E 24TH ST
NEW YORK NY
10010-4020
US

IV. Provider business mailing address

345 E 24TH ST
NEW YORK NY
10010-4020
US

V. Phone/Fax

Practice location:
  • Phone: 516-743-1710
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number058897
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: