Patibandla, Sumalatha

Patibandla, Sumalatha is an individual health care provider with primary practice located at 3070 College St Suite 301, Beaumont TX 77701-4691. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Patibandla, Sumalatha can be contacted via phone (409) 813-1686.

Contact Information

Primary practice address
3070 College St Suite 301 Beaumont TX 77701-4691
Phone: (409) 813-1686
Fax: (409) 813-3052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X L7102 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X L7102 Texas

Profile Details

NPI number 1699713198
LBN Legal business name Patibandla, Sumalatha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Apr 12th, 2017 - about 7 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 1699713198 NPPES
Texas MEDICAID 514019YZ21
Texas MEDICAID 159914401
Texas MEDICAID 159914402
Texas MEDICAID 159914403
Texas Other 8R1522

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