Reddy, Surabhi Chandra-Bose
Reddy, Surabhi Chandra-Bose is an individual health care provider with primary practice located at 4650 W Sunset Blvd , Los Angeles CA 90027-6062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Reddy, Surabhi Chandra-Bose can be contacted via phone (323) 660-2450.Contact Information
Primary practice address
4650 W Sunset Blvd
Los Angeles CA 90027-6062
Phone: (323) 660-2450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | C137131 | California |
Profile Details
| NPI number | 1003971888 |
|---|---|
| LBN Legal business name | Reddy, Surabhi Chandra-Bose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Oct 23rd, 2020 - about 4 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 | 1003971888 | NPPES |
| Texas | MEDICAID | 164366002 | |
| Texas | Other | 8M8180 |
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