Sadanand, Venkatraman

Sadanand, Venkatraman is an individual health care provider with primary practice located at 305 E Jefferson St , Boise ID 83712-6231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Sadanand, Venkatraman can be contacted via phone (208) 381-7360.

Contact Information

Primary practice address
305 E Jefferson St Boise ID 83712-6231
Phone: (208) 381-7360
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X M-17274 Idaho
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 036-110940 Illinois

Profile Details

NPI number 1497741417
LBN Legal business name Sadanand, Venkatraman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Nov 27th, 2023 - about 3 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 1497741417 NPPES
Illinois MEDICAID 036-110940

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