Gudapati, Sandhya R

Gudapati, Sandhya R is an sole proprietor health care provider with primary practice located at 140 E. Commonwealth Ave. Suite 101, Fullerton CA 92832-3616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Gudapati, Sandhya R can be contacted via phone (714) 773-4111.

Contact Information

Primary practice address
140 E. Commonwealth Ave. Suite 101 Fullerton CA 92832-3616
Fax: (714) 773-4222
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A46239 California

Profile Details

NPI number 1962625384
LBN Legal business name Gudapati, Sandhya R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Jun 2nd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962625384 NPPES
California MEDICAID 00A462391

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