Beravol, Poojitha Reddy

Beravol, Poojitha Reddy is an individual health care provider with primary practice located at 3615 Nw Samaritan Dr Suite 203, Corvallis OR 97330-3783. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Beravol, Poojitha Reddy can be contacted via phone (541) 768-6930.

Contact Information

Primary practice address
3615 Nw Samaritan Dr Suite 203 Corvallis OR 97330-3783
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 1343 Wisconsin
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD60697665 Washington
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD171595 Oregon

Profile Details

NPI number 1073749396
LBN Legal business name Beravol, Poojitha Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2009
Last updated Mar 21st, 2022 - about 3 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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