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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427010768 NPPES
Texas Other 8P5097 BCBSTX PIN
Texas Other 8S0397 BCBSTX PIN
Texas Other P00234966 BCBSTX PIN

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