Dr. Venkata Siva Reddy Guvva
Prosthodontist
3306 Emerald Ln
Jefferson City
, Missouri 65109-6880
Dr. Venkata Siva Reddy Guvva
Prosthodontist
3306 Emerald Ln
Jefferson City
, Missouri 65109-6880
(419) 819-7450
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Venkata Siva Reddy Guvva
- 3625 Briarmont Ave Apt 101
- Columbia, MO
- Zip : 65201-3680
- Phone : (419) 819-7450
Second Address
- Dr. Venkata Siva Reddy Guvva
- 3306 Emerald Ln
- Jefferson City, MO
- Zip : 65109-6880
- Phone : (573) 634-2222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 2020036528 | MO |
National Provider Identifier
| NPI | 1265084875 |
|---|---|
| Provider Name | Dr. Venkata Siva Reddy Guvva |
| First Address | Columbia, MO 65201-3680 |
| Second Address | Jefferson City, MO 65109-6880 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2019 |
| Last Update Date | 04/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.