Pandaraboyina, Naveen C

Pandaraboyina, Naveen C is an individual health care provider with primary practice located at 50 Memorial Drive Suite # 114, Leominster MA 01453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Pandaraboyina, Naveen C can be contacted via phone (978) 466-4980.

Contact Information

Primary practice address
50 Memorial Drive Suite # 114 Leominster MA 01453
Fax: (978) 466-4022
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 222879 Massachusetts

Profile Details

NPI number 1073533485
LBN Legal business name Pandaraboyina, Naveen C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jan 23rd, 2020 - about 4 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 1073533485 NPPES
Massachusetts MEDICAID 2087103

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