Polineni, Subbarao
Polineni, Subbarao is an sole proprietor health care provider with primary practice located at 6 Jungerman Cir Ste 107, St Peters MO 63376. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as his primary health care specialty. Polineni, Subbarao can be contacted via phone (636) 928-1696.Contact Information
Primary practice address
6 Jungerman Cir Ste 107
St Peters MO 63376
Phone: (636) 928-1696
Fax: (636) 928-3115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | R7957 | Missouri |
Profile Details
| NPI number | 1699766980 |
|---|---|
| LBN Legal business name | Polineni, Subbarao |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Nov 21st, 2007 - about 17 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 | 1699766980 | NPPES |
| Missouri | MEDICAID | 201653805 |
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