Jeereddi, Praveena

Jeereddi, Praveena is an individual health care provider with primary practice located at 1880 N Orange Grove Ave , Pomona CA 91767-3006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jeereddi, Praveena can be contacted via phone (909) 620-7200.

Contact Information

Primary practice address
1880 N Orange Grove Ave Pomona CA 91767-3006
Phone: (909) 620-7200
Fax: (909) 620-5800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A76313 California

Profile Details

NPI number 1346218740
LBN Legal business name Jeereddi, Praveena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated May 11th, 2023 - about 3 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 1346218740 NPPES
California MEDICAID 00A763130

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