Gona, Pavan Kumar K
Gona, Pavan Kumar K is an individual health care provider with primary practice located at 3615 Nw Samaritan Drive Suite 201, Corvallis OR 97333. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Gona, Pavan Kumar K can be contacted via phone (541) 768-6930.Contact Information
Primary practice address
3615 Nw Samaritan Drive Suite 201
Corvallis OR 97333
Phone: (541) 768-6930
Fax: (541) 768-6931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A100550 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD172330 | Oregon |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD172330 | Oregon |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD172330 | Oregon |
Profile Details
| NPI number | 1033319199 |
|---|---|
| LBN Legal business name | Gona, Pavan Kumar K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Aug 27th, 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 | 1033319199 | NPPES |
| California | MEDICAID | 0A1005500 | |
| California | Other | A100550 |
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