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Sudanagunta Peraiah Md Inc
General Practice Physician in Los Banos, California
NPI 1538350111

Sudanagunta Peraiah Md Inc is a General Practice Physician based in Los Banos, CA. Sudanagunta Peraiah Md Inc practices in Los Banos, CA. The NPI Number for Sudanagunta Peraiah Md Inc is 1538350111 and holds a License No. A24549 (California).

The current practice location address for Sudanagunta Peraiah Md Inc is 600 W I St, Los Banos, CA and can be reached out via phone at 209-826-5224 and via fax at 209-826-5226.

Location: 600 W I St, Los Banos, CA, 93635-1408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538350111
Provider Name
Sudanagunta Peraiah Md Inc
Credential
Provider Entity Type
Organization
Address
600 W I St, Los Banos, CA, 93635-1408
Phone Number
209-826-5224
Fax Number
209-826-5226
Provider Enumeration Date
08/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A245490 05 CA
institution
Provider Business Practice Location Address Details
Address
600 W I St
City
Los Banos
State
California
Zip
93635-3460
Phone Number
209-826-5224
Fax Number
209-826-5226
person
Provider Business Mailing Address Details
Address
600 W I St
City
Los Banos
State
California
Zip
93635-3460
Phone Number
209-826-5224
Fax Number
209-826-5226
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A24549 (California)
Definition
Definition to come...
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