Tammineni, Suresh

Tammineni, Suresh is an individual health care provider with primary practice located at 100 Medical Blvd , Canonsburg PA 15317-9762. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tammineni, Suresh can be contacted via phone (412) 330-3030.

Contact Information

Primary practice address
100 Medical Blvd Canonsburg PA 15317-9762
Phone: (412) 330-3030
Fax: (412) 330-3060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 018509 Maine
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101262472 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD469555 Pennsylvania

Profile Details

NPI number 1790981868
LBN Legal business name Tammineni, Suresh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Mar 9th, 2022 - about 3 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 1790981868 NPPES
Virginia MEDICAID 1790981868

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