Gomadam, Saritha R

Gomadam, Saritha R is an individual health care provider with primary practice located at 800 Rose St , Lexington KY 40536-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Gomadam, Saritha R can be contacted via phone (859) 323-8178.

Contact Information

Primary practice address
800 Rose St Lexington KY 40536-0001
Fax: (859) 323-8926
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OT012529 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X H71870 Maryland
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 03817 Kentucky

Profile Details

NPI number 1770883522
LBN Legal business name Gomadam, Saritha R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2010
Last updated Jul 20th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770883522 NPPES
Maryland MEDICAID 046498800

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