Gaddam, Syam P

Gaddam, Syam P is an individual health care provider with primary practice located at 11922 Seacrest Dr Ste A, Garden Grove CA 92840-1937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Gaddam, Syam P can be contacted via phone (714) 636-9100.

Contact Information

Primary practice address
11922 Seacrest Dr Ste A Garden Grove CA 92840-1937
Phone: (714) 636-9100
Fax: (714) 636-1806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A50714 California
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A50714 California

Profile Details

NPI number 1275510711
LBN Legal business name Gaddam, Syam P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Feb 12th, 2008 - about 18 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 1275510711 NPPES
California MEDICAID 00A507140

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