Prasad P Perumbeti MD, INC.
Anesthesiology in Tracy, CA. Organization (NPI-2).
NPI number1497775977
StatusActive
Last updated in NPPESSep 15, 2008
Details
- NPI
- 1497775977
- Entity type
- Organization (NPI-2)
- Legal business name
- Prasad P Perumbeti MD, INC.
- Organization subpart
- No
- Enumeration date
- Jul 20, 2006
- Last updated
- Sep 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | C51681 | CA | Yes |
Practice location
1420 N Tracy BlvdTracy, CA 95376-3451
Phone 209-835-1500
Mailing address
Po Box 7156Stockton, CA 95267-0156
Phone 209-467-6866 · Fax 209-467-6865
Authorized official
Prasad P Perumbeti V
President
2098351500
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