Praveen Kumar Gajendrareddy, DDS is a periodontics dentist in Chicago, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Praveen Kumar Gajendrareddy, DDS NPI is 1265675680. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
801 S PAULINA ST
M/C 621
CHICAGO, IL
ZIP 60612-210
Phone: (614) 657-8312
The NPI 1265675680 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 4/15/2009 and was last updated on 12/13/2011.