Peram, Radha A

Peram, Radha A is an individual health care provider with primary practice located at 751 S Bascom Ave Pm&R Dept, San Jose CA 95128-2604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Peram, Radha A can be contacted via phone (408) 885-2000.

Contact Information

Primary practice address
751 S Bascom Ave Pm&R Dept San Jose CA 95128-2604
Phone: (408) 885-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A88875 California

Profile Details

NPI number 1427127885
LBN Legal business name Peram, Radha A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Nov 29th, 2021 - about 3 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 1427127885 NPPES
California MEDICAID 00A888750

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