Nanduri, Padma

Nanduri, Padma is an individual health care provider with primary practice located at 5330 Carroll Canyon Rd Suite 210, San Diego CA 92121-3756. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Nanduri, Padma can be contacted via phone (858) 450-1010.

Contact Information

Primary practice address
5330 Carroll Canyon Rd Suite 210 San Diego CA 92121-3756
Fax: (858) 450-9451
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A73131 California

Profile Details

NPI number 1528054640
LBN Legal business name Nanduri, Padma
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Dec 21st, 2016 - about 8 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 1528054640 NPPES
California MEDICAID 00A731310

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