Sannapareddy, Sasikala
Sannapareddy, Sasikala is an individual health care provider with primary practice located at 63 Main St , Brockton MA 02301-4012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sannapareddy, Sasikala can be contacted via phone (508) 559-6699.Contact Information
Primary practice address
63 Main St
Brockton MA 02301-4012
Phone: (508) 559-6699
Fax: (508) 583-4649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 226752 | Massachusetts |
Profile Details
| NPI number | 1104870781 |
|---|---|
| LBN Legal business name | Sannapareddy, Sasikala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jun 11th, 2010 - about 15 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 | 1104870781 | NPPES |
| Massachusetts | Other | J29983 | BLUE CROSS/BLUE SHIELD |
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