Saridena, Pavan

Saridena, Pavan is an individual health care provider with primary practice located at 709 Hollybrook Dr Ste 3401 , Longview TX 75605-2412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Saridena, Pavan can be contacted via phone (903) 753-3331.

Contact Information

Primary practice address
709 Hollybrook Dr Ste 3401 Longview TX 75605-2412
Phone: (903) 753-3331
Fax: (903) 247-0643
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L5127 Texas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X L5127 Texas

Profile Details

NPI number 1922003680
LBN Legal business name Saridena, Pavan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jun 28th, 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 1922003680 NPPES
Texas MEDICAID 154238310

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