Individual provider · Type 1 NPI
Peraiah Sudanagunta, MD
General Practice Physician · Los Banas, CA
NPI number
1336211648
Active
Practice location
400 West I St
Los Banas, CA 93635
Fax (209) 827-8224
Mailing address
PO Box 1408
Los Banos, CA 93635-1408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A24549 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1336211648
Peraiah Sudanagunta, MD's National Provider Identifier is 1336211648, issued on Nov 14, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Banas, CA. The record was last updated on Dec 21, 2007.