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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 Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for SOWMINI KOMMIREDDI · (Female)

NPI # 1518064260
Status Active
Credentials
Entity Individual
Enumeration date 09/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA073809
  • NJ Medicaid 9072802
Hospital affiliation(s) Not Available
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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