Marupudi, Sambasiva Rao

Marupudi, Sambasiva Rao is an individual health care provider with primary practice located at 800 Quail Creek Drive Suite #103, Amarillo TX 79124-1634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Marupudi, Sambasiva Rao can be contacted via phone (806) 358-7911.

Contact Information

Primary practice address
800 Quail Creek Drive Suite #103 Amarillo TX 79124-1634
Phone: (806) 358-7911
Fax: (806) 358-9600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X G4168 Texas

Profile Details

NPI number 1629007414
LBN Legal business name Marupudi, Sambasiva Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Jan 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629007414 NPPES
Texas Other 8K8370 BCBS
Texas MEDICAID 097428903 BCBS
Texas Other P00125078 BCBS
Texas Other 4018116 BCBS

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