Kadaba, Priyanka
Kadaba, Priyanka is an individual health care provider with primary practice located at 3883 Airway Dr , Santa Rosa CA 95403-1670. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kadaba, Priyanka can be contacted via phone (707) 521-4480.Contact Information
Primary practice address
3883 Airway Dr
Santa Rosa CA 95403-1670
Phone: (707) 521-4480
Fax: (707) 521-4460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A176566 | California |
Profile Details
| NPI number | 1386099216 |
|---|---|
| LBN Legal business name | Kadaba, Priyanka |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2016 |
| Last updated | Oct 25th, 2022 - about 4 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 | 1386099216 | NPPES |
| California | Other | A176566 | STATE MEDICAL LICENSE |
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