Provider Demographics
NPI:1194887935
Name:ARUMILLI, MADHAVI (DDS)
Entity type:Individual
Prefix:DR
First Name:MADHAVI
Middle Name:
Last Name:ARUMILLI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MADHAVI
Other - Middle Name:
Other - Last Name:YELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:INCORPORATION
Mailing Address - Street 1:3612 FLORA VISTA AVE APT 161
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-3522
Mailing Address - Country:US
Mailing Address - Phone:408-243-1810
Mailing Address - Fax:
Practice Address - Street 1:1050 E EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-3754
Practice Address - Country:US
Practice Address - Phone:408-243-1810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46550122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist