Boyareddigari, Subrahman R
Boyareddigari, Subrahman R is an sole proprietor health care provider with primary practice located at 202 Sw 25Th Ave Suite 700, Mineral Wells TX 76067-8298. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Boyareddigari, Subrahman R can be contacted via phone (940) 328-1771.Contact Information
Primary practice address
202 Sw 25Th Ave Suite 700
Mineral Wells TX 76067-8298
Phone: (940) 328-1771
Fax: (940) 325-4440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G6476 | Texas |
Profile Details
| NPI number | 1790717874 |
|---|---|
| LBN Legal business name | Boyareddigari, Subrahman R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Feb 2nd, 2015 - about 10 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 | 1790717874 | NPPES |
| Texas | MEDICAID | 1138414-02 |
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