Chenanda, Ponnamma Medappa

Chenanda, Ponnamma Medappa is an sole proprietor health care provider with primary practice located at 1600 W Avenue J , Lancaster CA 93534-2814. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Chenanda, Ponnamma Medappa can be contacted via phone (661) 949-5000.

Contact Information

Primary practice address
1600 W Avenue J Lancaster CA 93534-2814
Fax: (661) 949-5971
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A84213 California

Profile Details

NPI number 1962426494
LBN Legal business name Chenanda, Ponnamma Medappa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jan 31st, 2014 - about 12 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 1962426494 NPPES
California Other 00A842130 BLUE SHIELD
California MEDICAID 00A842130 BLUE SHIELD

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