Saridena, Pavan
Saridena, Pavan is an individual health care provider with primary practice located at 709 Hollybrook Dr Ste 3401 , Longview TX 75605-2412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Saridena, Pavan can be contacted via phone (903) 753-3331.Contact Information
Primary practice address
709 Hollybrook Dr Ste 3401
Longview TX 75605-2412
Phone: (903) 753-3331
Fax: (903) 247-0643
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L5127 | Texas |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | L5127 | Texas |
Profile Details
NPI number | 1922003680 |
---|---|
LBN Legal business name | Saridena, Pavan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2005 |
Last updated | Jun 28th, 2023 - about last year |
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 | 1922003680 | NPPES |
Texas | MEDICAID | 154238310 |
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