Rengabhashyam, Padmanabha

Rengabhashyam, Padmanabha is an individual health care provider with primary practice located at 206 East Brown Street East Stroudsburg, East Stroudsburg PA 18301-3094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Rengabhashyam, Padmanabha can be contacted via phone (570) 476-3475.

Contact Information

Primary practice address
206 East Brown Street East Stroudsburg East Stroudsburg PA 18301-3094
Phone: (570) 476-3475
Fax: (703) 563-6256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD427232 Pennsylvania

Profile Details

NPI number 1992767693
LBN Legal business name Rengabhashyam, Padmanabha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Sep 2nd, 2016 - about 10 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 1992767693 NPPES
Pennsylvania MEDICAID 1014272460001

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