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

Praveen Kumar Gajendrareddy, DDS

Individual provider Periodontics · NPI 1265675680

Praveen Kumar Gajendrareddy, DDS is a Periodontics in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
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

801 S Paulina St M/c 621
Chicago, IL 60612-7210
Phone: (614) 657-8312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 021.002403 (IL)

Record details

NPI number1265675680
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 15, 2009
Last updated in NPPESDecember 13, 2011
Mailing address1841 Maine Dr, Elk Grove Village, IL 60007-2728

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