Kommineni, Bhupal
Kommineni, Bhupal is an sole proprietor health care provider with primary practice located at 1330 San Bernardino Road Suite G, Upland CA 91786-4974. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kommineni, Bhupal can be contacted via phone (909) 981-0989.Contact Information
Primary practice address
1330 San Bernardino Road Suite G
Upland CA 91786-4974
Phone: (909) 981-0989
Fax: (909) 949-6214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 00A346510 | California |
Profile Details
| NPI number | 1457324808 |
|---|---|
| LBN Legal business name | Kommineni, Bhupal |
| Credentials | MD FACP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Aug 1st, 2011 - about 13 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 | 1457324808 | NPPES |
| California | MEDICAID | 00A346510 | |
| California | Other | 953729807 |
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