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
Phone: (760) 255-4700
Fax: (760) 255-3840
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710946843 | NPPES |
California | MEDICAID | 00A408100 |
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