Kunamnemi, Basava
Kunamnemi, Basava is an individual health care provider with primary practice located at 2800 N California St , Stockton CA 95204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kunamnemi, Basava can be contacted via phone (209) 464-7681.Contact Information
Primary practice address
2800 N California St
Stockton CA 95204
Phone: (209) 464-7681
Fax: (209) 464-1647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 00C51232D | California |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 00C512320 | California |
Profile Details
| NPI number | 1376558239 |
|---|---|
| LBN Legal business name | Kunamnemi, Basava |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Jun 5th, 2008 - about 16 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 | 1376558239 | NPPES |
| California | Other | P00473872 | RAILROAD MEDICARE |
| California | MEDICAID | 00C51232D | RAILROAD MEDICARE |
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