Chennapragada, Kausalya N
Chennapragada, Kausalya N is an individual health care provider with primary practice located at 2700 Grant St #200, Concord CA 94520-2266. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Chennapragada, Kausalya N can be contacted via phone (925) 677-0500.Contact Information
Primary practice address
2700 Grant St #200
Concord CA 94520-2266
Phone: (925) 677-0500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 220333 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C56160 | California |
Profile Details
| NPI number | 1801013594 |
|---|---|
| LBN Legal business name | Chennapragada, Kausalya N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Feb 17th, 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 | 1801013594 | NPPES |
| Other | 01YP05138NH01 | BLUECROSS BLUE SHIELD | |
| MEDICAID | 30204105 | BLUECROSS BLUE SHIELD | |
| Other | 3367729 | BLUECROSS BLUE SHIELD | |
| Other | 3040465 | BLUECROSS BLUE SHIELD |
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