Proddatoori, Kruthika
Proddatoori, Kruthika is an sole proprietor health care provider with primary practice located at 13851 E 14Th St Ste 305 , San Leandro CA 94578-2630. She 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 / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Proddatoori, Kruthika can be contacted via phone (510) 351-1193.Contact Information
Primary practice address
13851 E 14Th St Ste 305
San Leandro CA 94578-2630
Phone: (510) 351-1193
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A153221 | California |
Profile Details
| NPI number | 1679955694 |
|---|---|
| LBN Legal business name | Proddatoori, Kruthika |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2015 |
| Last updated | Sep 23rd, 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.
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