Kottamasu, Sambasiva
Kottamasu, Sambasiva is an individual health care provider with primary practice located at 3400 N Center Rd Suite 400, Saginaw MI 48603-7920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kottamasu, Sambasiva can be contacted via phone (989) 799-5600.Contact Information
Primary practice address
3400 N Center Rd Suite 400
Saginaw MI 48603-7920
Phone: (989) 799-5600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301033432 | Michigan |
Profile Details
| NPI number | 1699745265 |
|---|---|
| LBN Legal business name | Kottamasu, Sambasiva |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jun 4th, 2010 - about 14 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 | 1699745265 | NPPES |
| Michigan | MEDICAID | 4345929 |
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