Buddiga, Praveen

Buddiga, Praveen is an individual health care provider with primary practice located at 7105 N Chestnut Ave Ste 103 , Fresno CA 93720-0357. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Buddiga, Praveen can be contacted via phone (559) 421-9009.

Contact Information

Primary practice address
7105 N Chestnut Ave Ste 103 Fresno CA 93720-0357
Phone: (559) 421-9009
Fax: (559) 922-2422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X A90273 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A90273 California

Profile Details

NPI number 1598703480
LBN Legal business name Buddiga, Praveen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Dec 15th, 2016 - about 10 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 1598703480 NPPES
California Other CA115990 MEDICARE PTAN
California MEDICAID 1598703480 MEDICARE PTAN
California Other CA115989 MEDICARE PTAN
California MEDICAID GR0043790 MEDICARE PTAN

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