Tanneru, Padmaja R

Tanneru, Padmaja R is an individual health care provider with primary practice located at 7657 E Main St , Reynoldsburg OH 43068-1243. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Tanneru, Padmaja R can be contacted via phone (614) 865-8500.

Contact Information

Primary practice address
7657 E Main St Reynoldsburg OH 43068-1243
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.088340 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35088340 Ohio

Profile Details

NPI number 1295742849
LBN Legal business name Tanneru, Padmaja R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Aug 29th, 2019 - about 6 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 1295742849 NPPES
Ohio MEDICAID 2674155

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