Individual
BHANU PRASAD PALADUGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97470-1281
(561) 677-1773
(541) 677-1794
Mailing address
PO BOX 708850, SANDY, UT 84070-8850
(866) 869-2395
(801) 352-7976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD26626
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005973
—
OR
01
—
77172
BCBS-CALDWELL
ID
05
—
807958100
—
ID
01
—
838366029
BCBS-MCMINNVILLE
OR
01
—
844477037
BCBS-GRANTS PASS
OR
01
—
858463035
BCBS-MEDFORD
OR
01
—
858464036
BCBS-ROSEBURG
OR
01
—
B6227
BCBS-NAMPA
ID
01
—
P00366050
RAIL ROAD MEDICARE
OR
Enumeration date
07/10/2006
Last updated
05/21/2008
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