Maddela, Prathyusha
Maddela, Prathyusha is an individual health care provider with primary practice located at 522 E 11Th St Ste 200 , Anniston AL 36207-4770. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Maddela, Prathyusha can be contacted via phone (256) 237-5302.Contact Information
Primary practice address
522 E 11Th St Ste 200
Anniston AL 36207-4770
Phone: (256) 237-5302
Fax: (256) 237-5368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 26169 | Alabama |
Profile Details
| NPI number | 1437174448 |
|---|---|
| LBN Legal business name | Maddela, Prathyusha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Aug 21st, 2020 - about 6 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 | 1437174448 | NPPES |
| Alabama | MEDICAID | 9937848 |
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