| Dr Avani S Khera, DMD | |
|
21 Peace St Fl 2, St. Joseph's Hospital Of Specialty Care, Providence, RI 02907-1510 | |
| (401) 456-4441 | |
| Not Available |
| Full Name | Dr Avani S Khera |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 21 Peace St Fl 2, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770804007 | NPI | - | NPPES |
| 1300709 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN1855412 (Massachusetts) | Primary |
| Entity Name | Trustees Of Boston University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154331916 PECOS PAC ID: 8921070822 Enrollment ID: O20040811000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Avani S Khera, DMD 21 Peace St Fl 2, St Joseph's Hospital Of Specialty Care, Providence, RI 02907-1510 Ph: (401) 456-4441 | Dr Avani S Khera, DMD 21 Peace St Fl 2, St. Joseph's Hospital Of Specialty Care, Providence, RI 02907-1510 Ph: (401) 456-4441 |
Jairahadeep Singh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 335r Prairie Ave, Providence, RI 02905 Phone: 401-444-0430 Fax: 401-444-0489 | |
Christine Marie Ramalho, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street, Joseph Samuels Dental Center At Rih, Providence, RI 02903 Phone: 401-444-7195 Fax: 401-444-3494 | |
David Ira Konicov, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 189 Governor St, Suite 201, Providence, RI 02906 Phone: 401-421-1457 | |
Sweta Thakur, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 335r Prairie Avenue, Providence, RI 02905 Phone: 401-444-0430 Fax: 401-444-0489 | |
Dr. Michael C Furia, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Reservoir Ave, Suite 1d, Providence, RI 02907 Phone: 401-941-3353 Fax: 401-461-6558 | |
Dr. Alan Pan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 16 Bridge St, Corliss Landing, Providence, RI 02903 Phone: 401-861-5600 Fax: 401-861-5603 | |
Laura Carrasco, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1482 Broad St, Providence, RI 02905 Phone: 352-408-1355 |