Kommireddi, Sowmini
Kommireddi, Sowmini is an sole proprietor health care provider with primary practice located at 1070 State Route 34 Suite V, Matawan NJ 07747-3469. She recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as her primary health care specialty. Kommireddi, Sowmini can be contacted via phone (732) 290-1063.Contact Information
Primary practice address
1070 State Route 34 Suite V
Matawan NJ 07747-3469
Phone: (732) 290-1063
Fax: (732) 290-1384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 25MA073809 | New Jersey |
Profile Details
| NPI number | 1518064260 |
|---|---|
| LBN Legal business name | Kommireddi, Sowmini |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1518064260 | NPPES |
| New Jersey | MEDICAID | 9072802 |
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