Sanaka, Padmaja Venkata

Sanaka, Padmaja Venkata is an individual health care provider with primary practice located at 11161 Randolph St , Crown Point IN 46307-8564. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Sanaka, Padmaja Venkata can be contacted via phone (219) 662-9424.

Contact Information

Primary practice address
11161 Randolph St Crown Point IN 46307-8564
Phone: (219) 662-9424
Fax: (219) 622-7465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036123780 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01070466A Indiana

Profile Details

NPI number 1255646055
LBN Legal business name Sanaka, Padmaja Venkata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2010
Last updated Sep 9th, 2024 - about 2 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 1255646055 NPPES
Ohio MEDICAID 2565399
Ohio MEDICAID 201074200

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