Yenumula, Panduranga Reddy
Yenumula, Panduranga Reddy is an individual health care provider with primary practice located at 2 Medical Center Dr Suite 406, Springfield MA 01107-1270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Yenumula, Panduranga Reddy can be contacted via phone (413) 732-4269.Contact Information
Primary practice address
2 Medical Center Dr Suite 406
Springfield MA 01107-1270
Phone: (413) 732-4269
Fax: (413) 788-0944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 224458 | Massachusetts |
Profile Details
| NPI number | 1477528784 |
|---|---|
| LBN Legal business name | Yenumula, Panduranga Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Dec 14th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477528784 | NPPES |
| Massachusetts | MEDICAID | 2105951 |
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