Peraiah Sudanagunta in Los Banos - General Practice

Peraiah Sudanagunta - NPI 1336211648

Peraiah Sudanagunta is a General Practice in Los Banos, California. Peraiah Sudanagunta practices all healthcare services and medical treatments related to General Practice. The NPI Number for Peraiah Sudanagunta is 1336211648. The last update date is 2007-12-21.

Peraiah Sudanagunta's current location address is Po Box 1408, Los Banos, California. You can contact this provider via phone number 2097106331 and fax number 2098278224. The mailing address for Peraiah Sudanagunta is Po Box 1408, Los Banos, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Peraiah Sudanagunta
Address Po Box 1408, Los Banos, California
Phone Number 2097106331
Fax Number 2098278224
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1336211648
Provider Enumeration Date 2006-11-14
Last Updated Date 2007-12-21

Provider Mailing Address Detail

Address Po Box 1408
City Los Banos
State California (CA)
Post Code 936351408
Phone Number 2097106331
Fax Number 2098278224

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No A24549
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A245490 CA --

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FAQs about Peraiah Sudanagunta

What is the unique identification code assigned to Peraiah Sudanagunta by the Centers for Medicare & Medicaid Services?

The Peraiah Sudanagunta has been issued the NPI (National Provider Identifier) 1336211648. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Peraiah Sudanagunta's facilities are geographically located?

The facilities of Peraiah Sudanagunta are physically situated at the following location: Po Box 1408, Los Banos, CA, 936351408.

What is the Peraiah Sudanagunta's area of specialization and corresponding taxonomy classification?

The Peraiah Sudanagunta's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1336211648 assigned to Peraiah Sudanagunta?

The Peraiah Sudanagunta was issued its 1336211648 on 2006-11-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Peraiah Sudanagunta, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Peraiah Sudanagunta, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-21.

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