Korimerla, Praveen C
Korimerla, Praveen C is an individual health care provider with primary practice located at 1100 Goethals Dr Suite E, Richland WA 99352-3300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Korimerla, Praveen C can be contacted via phone (509) 942-3095.Contact Information
Primary practice address
1100 Goethals Dr Suite E
Richland WA 99352-3300
Phone: (509) 942-3095
Fax: (509) 942-3097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 243005 | New York |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD60403274 | Washington |
Profile Details
| NPI number | 1194929273 |
|---|---|
| LBN Legal business name | Korimerla, Praveen C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Jul 25th, 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 | 1194929273 | NPPES |
| Washington | MEDICAID | 1538368360 |
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