Prasad K Peddu is a Internal Medicine in Lufkin, Texas. Prasad K Peddu practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Prasad K Peddu is 1487656468. The last update date is 2015-08-27.
Prasad K Peddu's current location address is 515 Gaslight Blvd, Lufkin, Texas. You can contact this provider via phone number 9366343995 and fax number 9366944022. The mailing address for Prasad K Peddu is 515 Gaslight Blvd, Lufkin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Prasad K Peddu |
|---|---|
| Address | 515 Gaslight Blvd, Lufkin, Texas |
| Phone Number | 9366343995 |
| Fax Number | 9366944022 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487656468 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2015-08-27 |
Provider Mailing Address Detail
| Address | 515 Gaslight Blvd |
|---|---|
| City | Lufkin |
| State | Texas (TX) |
| Post Code | 759043127 |
| Phone Number | 9366343995 |
| Fax Number | 9366944022 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | J9263 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110114826 | TX | MEDICARE RAILROAD ID | |
| 261887122 | TX | TAX ID | |
| 38251701 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Prasad K Peddu by the Centers for Medicare & Medicaid Services?
The Prasad K Peddu has been assigned the NPI (National Provider Identifier) 1487656468. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Prasad K Peddu?
The Prasad K Peddu is situated at 515 Gaslight Blvd, in the city of Lufkin, state of TX, with the zip code 759043127.
What is Prasad K Peddu's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Prasad K Peddu's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
When did Prasad K Peddu receive its 1487656468 assignment?
The Prasad K Peddu was assigned its 1487656468 on 2005-08-10, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Prasad K Peddu, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Prasad K Peddu, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-08-27.