Boyareddigari, Prasanth
Boyareddigari, Prasanth is an sole proprietor health care provider with primary practice located at 504 Medical Center Blvd , Conroe TX 77304-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Boyareddigari, Prasanth can be contacted via phone (936) 539-1111.Contact Information
Primary practice address
504 Medical Center Blvd
Conroe TX 77304-2808
Phone: (936) 539-1111
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M1031 | Texas |
Profile Details
NPI number | 1427010768 |
---|---|
LBN Legal business name | Boyareddigari, Prasanth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 3rd, 2006 |
Last updated | Dec 7th, 2007 - about 17 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 | 1427010768 | NPPES |
Texas | Other | 8P5097 | BCBSTX PIN |
Texas | Other | 8S0397 | BCBSTX PIN |
Texas | Other | P00234966 | BCBSTX PIN |
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