Srinivasa, Padmashri Komandur

Srinivasa, Padmashri Komandur is an individual health care provider with primary practice located at 1595 Soquel Dr Ste 330 , Santa Cruz CA 95065-1722. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Srinivasa, Padmashri Komandur can be contacted via phone (831) 535-1576.

Contact Information

Primary practice address
1595 Soquel Dr Ste 330 Santa Cruz CA 95065-1722
Phone: (831) 535-1576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A110096 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A110096 California

Profile Details

NPI number 1528245123
LBN Legal business name Srinivasa, Padmashri Komandur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2008
Last updated Jan 10th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528245123 NPPES
California Other A 110096 CLIFORNIA MEDICAL LICENSE

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