Gaddam, Syam P
Gaddam, Syam P is an individual health care provider with primary practice located at 11922 Seacrest Dr Ste A, Garden Grove CA 92840-1937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Gaddam, Syam P can be contacted via phone (714) 636-9100.Contact Information
Primary practice address
11922 Seacrest Dr Ste A
Garden Grove CA 92840-1937
Phone: (714) 636-9100
Fax: (714) 636-1806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A50714 | California |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A50714 | California |
Profile Details
| NPI number | 1275510711 |
|---|---|
| LBN Legal business name | Gaddam, Syam P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Feb 12th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275510711 | NPPES |
| California | MEDICAID | 00A507140 |
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