Tammineni, Suresh
Tammineni, Suresh is an individual health care provider with primary practice located at 100 Medical Blvd , Canonsburg PA 15317-9762. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tammineni, Suresh can be contacted via phone (412) 330-3030.Contact Information
Primary practice address
100 Medical Blvd
Canonsburg PA 15317-9762
Phone: (412) 330-3030
Fax: (412) 330-3060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 018509 | Maine |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0101262472 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD469555 | Pennsylvania |
Profile Details
| NPI number | 1790981868 |
|---|---|
| LBN Legal business name | Tammineni, Suresh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Mar 9th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790981868 | NPPES |
| Virginia | MEDICAID | 1790981868 |
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