Nagappala, Basavaraj

Nagappala, Basavaraj is an individual health care provider with primary practice located at 1100 Butte St , Redding CA 96001-0852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nagappala, Basavaraj can be contacted via phone (530) 241-0410.

Contact Information

Primary practice address
1100 Butte St Redding CA 96001-0852
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A91561 California

Profile Details

NPI number 1477521342
LBN Legal business name Nagappala, Basavaraj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477521342 NPPES
California Other A91561 STATE LICENSE #
California MEDICAID GR0055650 STATE LICENSE #

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