Grandhi, Preetham
Grandhi, Preetham is an sole proprietor health care provider with primary practice located at 1324 Lakeland Hills Blvd , Lakeland FL 33805-4543. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Grandhi, Preetham can be contacted via phone (863) 687-1222.Contact Information
Primary practice address
1324 Lakeland Hills Blvd
Lakeland FL 33805-4543
Phone: (863) 687-1222
Fax: (863) 603-6546
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 214467 | New York |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME137963 | Florida |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 37805 | Connecticut |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 37805 | Connecticut |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 214467 | New York |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ME137963 | Florida |
Profile Details
NPI number | 1720093149 |
---|---|
LBN Legal business name | Grandhi, Preetham |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 31st, 2006 |
Last updated | Mar 7th, 2023 - about 2 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 | 1720093149 | NPPES |
Florida | Other | ME137963 | LICENSE |
Florida | Other | 214467 | LICENSE |
Florida | Other | 37805 | LICENSE |
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