Budharaju, Subbaraju
Budharaju, Subbaraju is an individual health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Budharaju, Subbaraju can be contacted via phone (937) 395-6665.Contact Information
Primary practice address
3535 Southern Blvd
Kettering OH 45429-1221
Phone: (937) 395-6665
Fax: (937) 395-6668
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 35.122849 | Ohio |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.122849 | Ohio |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1184915050 |
---|---|
LBN Legal business name | Budharaju, Subbaraju |
Credentials | M.B.B.S. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 27th, 2011 |
Last updated | May 5th, 2023 - about last year |
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 | 1184915050 | NPPES |
Ohio | MEDICAID | 0107858 |
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