Thangada, Praveen Kumar

Thangada, Praveen Kumar is an sole proprietor health care provider with primary practice located at 634 E Court St Ste 102, Seguin TX 78155-5725. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Thangada, Praveen Kumar can be contacted via phone (830) 303-1819.

Contact Information

Primary practice address
634 E Court St Ste 102 Seguin TX 78155-5725
Fax: (830) 379-0816
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J7226 Texas

Profile Details

NPI number 1023078250
LBN Legal business name Thangada, Praveen Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Nov 3rd, 2016 - about 10 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 1023078250 NPPES
Texas MEDICAID 099550802

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