Andhavarapu, Giridhar

Andhavarapu, Giridhar is an individual health care provider with primary practice located at 1524 W Lacey Blvd Suite 104, Hanford CA 93230-5965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Andhavarapu, Giridhar can be contacted via phone (559) 583-4505.

Contact Information

Primary practice address
1524 W Lacey Blvd Suite 104 Hanford CA 93230-5965
Phone: (559) 583-4505
Fax: (559) 583-4545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10540 Nevada
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A102374 California

Profile Details

NPI number 1124097043
LBN Legal business name Andhavarapu, Giridhar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124097043 NPPES
California MEDICAID 1124097043
California MEDICAID 100500087

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