Provider Demographics
NPI:1871146076
Name:BINDIGANAVILE SATHYANARAYANA, RADHIKA (DDS)
Entity type:Individual
Prefix:
First Name:RADHIKA
Middle Name:
Last Name:BINDIGANAVILE SATHYANARAYANA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3255 BLUEMONT PARK
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-8752
Mailing Address - Country:US
Mailing Address - Phone:515-203-9813
Mailing Address - Fax:
Practice Address - Street 1:3255 BLUEMONT PARK
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-8752
Practice Address - Country:US
Practice Address - Phone:515-203-9813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0259201223G0001X
IL019.0322551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice