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
Phone: (661) 949-5000
Fax: (661) 949-5971
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962426494 | NPPES |
| California | Other | 00A842130 | BLUE SHIELD |
| California | MEDICAID | 00A842130 | BLUE SHIELD |
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