Kandagatla, Pridvi Gautham
Kandagatla, Pridvi Gautham is an individual health care provider with primary practice located at 1983 Sloan Pl Ste 11 , Saint Paul MN 55117-2004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Kandagatla, Pridvi Gautham can be contacted via phone (651) 312-1620.Contact Information
Primary practice address
1983 Sloan Pl Ste 11
Saint Paul MN 55117-2004
Phone: (651) 312-1620
Fax: (651) 312-1570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 71756 | Minnesota |
Profile Details
| NPI number | 1346668555 |
|---|---|
| LBN Legal business name | Kandagatla, Pridvi Gautham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2014 |
| Last updated | Nov 21st, 2023 - about last year |
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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