Bukkapatnam, Radhika Nandur

Bukkapatnam, Radhika Nandur is an individual health care provider with primary practice located at 8110 Laguna Blvd , Elk Grove CA 95758-7904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Bukkapatnam, Radhika Nandur can be contacted via phone (916) 683-3950.

Contact Information

Primary practice address
8110 Laguna Blvd Elk Grove CA 95758-7904
Phone: (916) 683-3950
Fax: (916) 683-3970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A77931 California

Profile Details

NPI number 1043293079
LBN Legal business name Bukkapatnam, Radhika Nandur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jan 21st, 2009 - about 17 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 1043293079 NPPES
California MEDICAID 00A779310

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