Addagatla, Sujatha
Addagatla, Sujatha is an sole proprietor health care provider with primary practice located at 2900 Military Rd , Niagara Falls NY 14304-1252. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Addagatla, Sujatha can be contacted via phone (716) 298-1868.Contact Information
Primary practice address
2900 Military Rd
Niagara Falls NY 14304-1252
Phone: (716) 298-1868
Fax: (716) 205-0836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 190795 | New York |
Profile Details
| NPI number | 1720168198 |
|---|---|
| LBN Legal business name | Addagatla, Sujatha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1720168198 | NPPES |
| New York | Other | 000524501007 | BLUE CROSS BLUE SHIELD |
| New York | Other | 390008664 | BLUE CROSS BLUE SHIELD |
| New York | Other | 78433 | BLUE CROSS BLUE SHIELD |
| New York | Other | 00010348704 | BLUE CROSS BLUE SHIELD |
| New York | Other | 2509942 | BLUE CROSS BLUE SHIELD |
| New York | MEDICAID | 01630735 | BLUE CROSS BLUE SHIELD |
| New York | Other | 2593770 | BLUE CROSS BLUE SHIELD |
| New York | Other | 163410BZ | BLUE CROSS BLUE SHIELD |
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