Sagireddy, P B

Sagireddy, P B is an sole proprietor health care provider with primary practice located at 1801 E March Ln Suite B265, Stockton CA 95210-6629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Sagireddy, P B can be contacted via phone (209) 546-1868.

Contact Information

Primary practice address
1801 E March Ln Suite B265 Stockton CA 95210-6629
Phone: (209) 546-1868
Fax: (209) 461-6504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A73135 California

Profile Details

NPI number 1407844889
LBN Legal business name Sagireddy, P B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Feb 28th, 2011 - about 15 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 1407844889 NPPES
California MEDICAID 00A73510
California MEDICAID 00A731351
California Other DA0971

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