Padmanabha, Siddhartha

Padmanabha, Siddhartha is an individual health care provider with primary practice located at 4204 Houma Blvd Ste 100 , Metairie LA 70006-2919. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Padmanabha, Siddhartha can be contacted via phone (504) 503-5139.

Contact Information

Primary practice address
4204 Houma Blvd Ste 100 Metairie LA 70006-2919
Phone: (504) 503-5139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD.202408 Louisiana

Profile Details

NPI number 1154505220
LBN Legal business name Padmanabha, Siddhartha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2007
Last updated Dec 13th, 2017 - about 9 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 1154505220 NPPES
Louisiana MEDICAID 1308447

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