Provider Demographics
NPI:1427343888
Name:RAMAKRISHNA, SOWMYA (BDS,MDS,DDS)
Entity type:Individual
Prefix:DR
First Name:SOWMYA
Middle Name:
Last Name:RAMAKRISHNA
Suffix:
Gender:F
Credentials:BDS,MDS,DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 COLUMBUS DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-2776
Mailing Address - Country:US
Mailing Address - Phone:269-929-6324
Mailing Address - Fax:
Practice Address - Street 1:373 COLUMBUS DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-2776
Practice Address - Country:US
Practice Address - Phone:269-929-6324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010204081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice