Sontineni, Siva Prasad
Sontineni, Siva Prasad is an individual health care provider with primary practice located at 802 N Bonnie Brae St # 104 , Denton TX 76201-2499. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Sontineni, Siva Prasad can be contacted via phone (469) 645-1155.Contact Information
Primary practice address
802 N Bonnie Brae St # 104
Denton TX 76201-2499
Phone: (469) 645-1155
Fax: (469) 645-1210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | P4112 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | P4112 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P4112 | Texas |
Profile Details
| NPI number | 1114142403 |
|---|---|
| LBN Legal business name | Sontineni, Siva Prasad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Apr 20th, 2016 - about 9 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 | 1114142403 | NPPES |
| Texas | MEDICAID | 3514952 | |
| Texas | Other | P01542377 |
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