National Provider Identifier Database

SOWMINI KOMMIREDDI
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

SOWMINI KOMMIREDDI
1070 STATE ROUTE 34
SUITE V
MATAWAN, NJ07747-3469
Phone: 732-290-1063
Fax: 732-290-1384
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for SOWMINI KOMMIREDDI

NPI Number 1518064260
Credentials
Entity Individual
Enumeration date 09/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • NJ License #: 25MA073809
  • NJ Medicaid: 9072802
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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