Supritha Nilam, DDS is a
Oral & Maxillofacial Surgery based in Cincinnati, Ohio. Supritha Nilam is licensed to practice in Ohio (license number 30.027873) and her current practice location is
222 Piedmont Ave, Cincinnati, Ohio. She can be reached at her office (for appointments etc.) via phone at
(513) 475-8783.
NPI number for Supritha Nilam is 1629597562 and her current mailing address is Po Box 636256, Cincinnati, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629597562.
Healthcare Provider's Profile
Full Name | Supritha Nilam |
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Gender | Female |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 222 Piedmont Ave, Cincinnati, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629597562
- Provider Enumeration Date: 09/12/2017
- Last Update Date: 04/18/2025
Medical Identifiers
Medical identifiers for Supritha Nilam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629597562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DEN4589 (Maine) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 106194 (California) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 30.027873 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Supritha Nilam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Supritha Nilam, DDS Po Box 636256, Cincinnati, OH 45263-6256 Ph: (513) 585-6200 | Supritha Nilam, DDS 222 Piedmont Ave, Cincinnati, OH 45219-4231 Ph: (513) 475-8783 |
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