Ponnamreddy, Praveen K

Ponnamreddy, Praveen K is an individual health care provider with primary practice located at 41 Mall Rd , Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hypertension Specialist. Allopathic & Osteopathic Physicians / Hypertension Specialist is his primary health care specialty. Ponnamreddy, Praveen K can be contacted via phone (781) 744-8000.

Contact Information

Primary practice address
41 Mall Rd Burlington MA 01805-0001
Phone: (781) 744-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 16872 New Hampshire
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 229636 Massachusetts
Allopathic & Osteopathic Physicians / Hypertension Specialist 207RH0005X 229636 Massachusetts

Profile Details

NPI number 1295752160
LBN Legal business name Ponnamreddy, Praveen K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Dec 28th, 2023 - about 2 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 1295752160 NPPES
Vermont MEDICAID 1027097
Vermont MEDICAID 3100323

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