Padmanabha, Venkatappa M

Padmanabha, Venkatappa M is an sole proprietor health care provider with primary practice located at 902 E Main St , Barstow CA 92311-2406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Padmanabha, Venkatappa M can be contacted via phone (760) 255-4700.

Contact Information

Primary practice address
902 E Main St Barstow CA 92311-2406
Fax: (760) 255-3840
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X A40810 California

Profile Details

NPI number 1710946843
LBN Legal business name Padmanabha, Venkatappa M
Credentials M.D FACP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2006
Last updated Jun 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710946843 NPPES
California MEDICAID 00A408100

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