Provider Demographics
NPI:1457233132
Name:SAHASRABUDHE, VARADA (DMD)
Entity type:Individual
Prefix:DR
First Name:VARADA
Middle Name:
Last Name:SAHASRABUDHE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 TERRITORIAL RD APT 529
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-0029
Mailing Address - Country:US
Mailing Address - Phone:250-380-8595
Mailing Address - Fax:
Practice Address - Street 1:701 25TH AVE S STE 400
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1443
Practice Address - Country:US
Practice Address - Phone:612-659-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR8971223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry