Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. ABHINAND VENKATA PEDDADA
Active
Individual
DR. ABHINAND VENKATA PEDDADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
14810
NV
2085R0001X
Radiation Oncology Physician
A47818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A478180
BLUE SHIELD
CA
05
—
00A478180
—
CA
05
—
1073504791
—
NV
01
—
10966825
CAQH
—
Enumeration date
11/02/2005
Last updated
06/14/2018
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