Buddiga, Praveen
Buddiga, Praveen is an individual health care provider with primary practice located at 7105 N Chestnut Ave Ste 103 , Fresno CA 93720-0357. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Buddiga, Praveen can be contacted via phone (559) 421-9009.Contact Information
Primary practice address
7105 N Chestnut Ave Ste 103
Fresno CA 93720-0357
Phone: (559) 421-9009
Fax: (559) 922-2422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | A90273 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A90273 | California |
Profile Details
| NPI number | 1598703480 |
|---|---|
| LBN Legal business name | Buddiga, Praveen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Dec 15th, 2016 - about 8 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 | 1598703480 | NPPES |
| California | Other | CA115990 | MEDICARE PTAN |
| California | MEDICAID | 1598703480 | MEDICARE PTAN |
| California | Other | CA115989 | MEDICARE PTAN |
| California | MEDICAID | GR0043790 | MEDICARE PTAN |
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