Ponnada, Srikanth
Ponnada, Srikanth is an individual health care provider with primary practice located at 808 N Canal St , Carlsbad NM 88220-2418. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ponnada, Srikanth can be contacted via phone (575) 887-5085.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 7444 | New Mexico |
Profile Details
| NPI number | 1144645821 |
|---|---|
| LBN Legal business name | Ponnada, Srikanth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2014 |
| Last updated | Mar 4th, 2014 - about 11 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 | 1144645821 | NPPES |
| New Mexico | MEDICAID | 61512 |
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