=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831051507
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DRS BHADANI AND DURSHANAPALLI PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/01/2025
-----------------------------------------------------
Last Update Date | 12/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1401 W WENDOVER AVE
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27408-1952
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-378-9953
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1401 W WENDOVER AVE
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27408-1952
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-378-9953
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. SRINIVAS DURSHANAPALLI
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 888-244-8899
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------