Puchalapalli, Subbareddy
Puchalapalli, Subbareddy is an sole proprietor health care provider with primary practice located at 2250 Wabash Ave , Terre Haute IN 47807-3317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Puchalapalli, Subbareddy can be contacted via phone (812) 232-3225.Contact Information
Primary practice address
2250 Wabash Ave
Terre Haute IN 47807-3317
Phone: (812) 232-3225
Fax: (812) 232-4215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01046393A | Indiana |
Profile Details
| NPI number | 1184622078 |
|---|---|
| LBN Legal business name | Puchalapalli, Subbareddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Sep 16th, 2014 - about 10 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 | 1184622078 | NPPES |
| Indiana | MEDICAID | 200148980C |
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