Parvataneni, Sumathi

Parvataneni, Sumathi is an individual health care provider with primary practice located at 1711 S Stephenson Ave Suite 210, Iron Mountain MI 49801-3639. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Parvataneni, Sumathi can be contacted via phone (906) 776-5800.

Contact Information

Primary practice address
1711 S Stephenson Ave Suite 210 Iron Mountain MI 49801-3639
Phone: (906) 776-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301084683 Michigan

Profile Details

NPI number 1205996162
LBN Legal business name Parvataneni, Sumathi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 9th, 2007 - about 18 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 1205996162 NPPES
Michigan MEDICAID 4866318
Michigan Other 941311044861
Michigan Other SA084683
Michigan MEDICAID 34670400

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