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DR. MAHATHI NANDURI DDS
NPI 1104053487
Dentist - General Practice in Herndon, VA

Active since June 15, 2009
12832 WILLIAMS MEADOW CT, HERNDON, VA 20171(571) 296-8047 Get Directions Write a Review

NPPES record last updated: March 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mahathi Nanduri Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAHATHI NANDURI DDS (NPI 1104053487) is an individual general practice provider in Herndon, Virginia, licensed in Virginia (0401411896) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1104053487
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MAHATHI NANDURICredential: DDS
Location Address12832 WILLIAMS MEADOW CTHerndon, VA 20171-4759
Mailing Address12832 Williams Meadow CtHerndon, VA 20171-2957 · (571) 296-8047
Phone(571) 296-8047
Sole ProprietorNo
Enumeration DateJune 15, 2009
Last NPPES UpdateMarch 3, 2011
✔ NPI 1104053487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in VA · 0401411896✔ Licensed in CA · 55947
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12832 WILLIAMS MEADOW CT, Herndon, VA 20171
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Other Names 1

Former Name (1)Dr. Mahathi Madiraju

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahathi Nanduri's NPI number?

The NPI number for Mahathi Nanduri is 1104053487. It was assigned to this individual provider in the NPPES registry on June 15, 2009. The provider is also known as Dr. Mahathi Madiraju.

Where is Mahathi Nanduri located?

Mahathi Nanduri practices at 12832 Williams Meadow Ct, Herndon, VA 20171. The listed phone number is (571) 296-8047.

What is Mahathi Nanduri's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mahathi Nanduri accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Mahathi Nanduri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mahathi Nanduri was last updated on March 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.