Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Anisha Krishnan Thondukolam, DDS

Individual provider Periodontics · NPI 1609109768

Dr. Anisha Krishnan Thondukolam, DDS is a Periodontics in San Ramon, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

591 Fallen Leaf Cir
San Ramon, CA 94583-5305
Phone: (510) 604-5776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 62123 (CA)

Record details

NPI number1609109768
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 8, 2009
Last updated in NPPESApril 1, 2013

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