Sudanagunta Peraiah MD INC

NPI #1538350111 in Los Banos, California

Provider Information

NPI Number: 1538350111
Entity Type: Organization
Organization Name: Sudanagunta Peraiah MD INC
Primary Specialty: General Practice
Enumeration Date: Aug 7, 2007
Last Updated: Nov 14, 2013

Practice Location

Address: 600 W I ST
Address 2: B
City: Los Banos
State: California
ZIP Code: 93635-3460
Phone: (209) 826-5224

Authorized Official

Name: DR. SUDANAGUNTA PERAIAH, MD
Title: MD/OWNER
Phone: (209) 826-5224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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