Betina, Padmanabha Rao
Betina, Padmanabha Rao is an sole proprietor health care provider with primary practice located at 200 High Park Ave , Goshen IN 46526-4810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Betina, Padmanabha Rao can be contacted via phone (312) 479-8669.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01039980 | Indiana |
Profile Details
| NPI number | 1861467854 |
|---|---|
| LBN Legal business name | Betina, Padmanabha Rao |
| Credentials | M.D., F.C.C.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Apr 17th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861467854 | NPPES |
| Indiana | MEDICAID | 100114150 | |
| Indiana | Other | 000000089017 |
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