Kanneganti, Praveen

Kanneganti, Praveen is an individual health care provider with primary practice located at 34612 6Th Ave S Ste 300 , Federal Way WA 98003-8723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kanneganti, Praveen can be contacted via phone (253) 838-8552.

Contact Information

Primary practice address
34612 6Th Ave S Ste 300 Federal Way WA 98003-8723
Phone: (253) 838-8552
Fax: (253) 272-0149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD60819307 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 125.069745 Illinois

Profile Details

NPI number 1124382668
LBN Legal business name Kanneganti, Praveen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated Jul 21st, 2022 - about 3 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 1124382668 NPPES
Washington MEDICAID 2108169

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