Rengabhashyam, Padmanabha
Rengabhashyam, Padmanabha is an individual health care provider with primary practice located at 206 East Brown Street East Stroudsburg, East Stroudsburg PA 18301-3094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Rengabhashyam, Padmanabha can be contacted via phone (570) 476-3475.Contact Information
Primary practice address
206 East Brown Street East Stroudsburg
East Stroudsburg PA 18301-3094
Phone: (570) 476-3475
Fax: (703) 563-6256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD427232 | Pennsylvania |
Profile Details
| NPI number | 1992767693 |
|---|---|
| LBN Legal business name | Rengabhashyam, Padmanabha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Sep 2nd, 2016 - about 8 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 | 1992767693 | NPPES |
| Pennsylvania | MEDICAID | 1014272460001 |
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