Dr Peraiah Sudanagunta, MD is a
General Practice physician based in Los Banas, California. Dr Peraiah Sudanagunta is licensed to practice in California (license number A24549) and his current practice location is 400 West I St, Los Banas, California. He can be reached at his office (for appointments etc.) via phone at
(209) 710-6331.
NPI number for Dr Peraiah Sudanagunta is 1336211648 and his current mailing address is Po Box 1408, Los Banos, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336211648.
Physician's Profile
Full Name | Dr Peraiah Sudanagunta |
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Gender | Male |
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Speciality | General Practice |
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Location | 400 West I St, Los Banas, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336211648
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 12/21/2007
Medical Identifiers
Medical identifiers for Dr Peraiah Sudanagunta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336211648 | NPI | - | NPPES |
00A245490 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | A24549 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peraiah Sudanagunta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Peraiah Sudanagunta, MD Po Box 1408, Los Banos, CA 93635-1408 Ph: (209) 710-6331 | Dr Peraiah Sudanagunta, MD 400 West I St, Los Banas, CA 93635 Ph: (209) 710-6331 |
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