Peddada, Abhinand Venkata

Peddada, Abhinand Venkata is an individual health care provider with primary practice located at 1155 Mill St , Reno NV 89502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Peddada, Abhinand Venkata can be contacted via phone (775) 982-4000.

Contact Information

Primary practice address
1155 Mill St Reno NV 89502
Fax: (775) 982-5639
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A47818 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 14810 Nevada

Profile Details

NPI number 1073504791
LBN Legal business name Peddada, Abhinand Venkata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jun 14th, 2018 - about 7 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 1073504791 NPPES
California Other 00A478180 BLUE SHIELD
California MEDICAID 1073504791 BLUE SHIELD
California Other 10966825 BLUE SHIELD
California MEDICAID 00A478180 BLUE SHIELD

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