Koppolu P Sarma Md Inc
LBN: Koppolu P Sarma Md Inc
Koppolu P Sarma Md Inc is an health care organization with primary practice located at 300 W 61St Ave Center For Imaging And Radiation, Hobart IN 46342-6490. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty.
Koppolu P Sarma Md Inc can be contacted via phone (219) 942-5745, or through Sarma, Koppolu P via phone (219) 942-5745.
Contact Information
Primary practice address
300 W 61St Ave Center For Imaging And Radiation
Hobart IN 46342-6490
Phone: (219) 942-5745
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 01027669A | Indiana |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X |
Profile Details
| NPI number | 1942257019 |
|---|---|
| LBN Legal business name | Koppolu P Sarma Md Inc |
| DBA Doing business as | |
| Authorized official | Sarma, Koppolu P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Oct 26th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942257019 | NPPES |
| Indiana | MEDICAID | 100213740A | |
| Indiana | MEDICAID | 200008710A |
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