Kudaravalli, Padmavathi
Kudaravalli, Padmavathi is an individual health care provider with primary practice located at 2333 Mowry Ave Ste 300, Fremont CA 94538-1626. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kudaravalli, Padmavathi can be contacted via phone (510) 284-4100.Contact Information
Primary practice address
2333 Mowry Ave Ste 300
Fremont CA 94538-1626
Phone: (510) 284-4100
Fax: (510) 794-9783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A67964 | California |
Profile Details
| NPI number | 1144221953 |
|---|---|
| LBN Legal business name | Kudaravalli, Padmavathi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Mar 25th, 2020 - about 5 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 | 1144221953 | NPPES |
| California | MEDICAID | 00A679640 |
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