Praveen Buddiga MD, Inc.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

90273 Issued in CA

Legal business name

PRAVEEN BUDDIGA MD, INC.

Doing business as

Family Allergy Asthma Clinic

Practice address

7105 N Chestnut Ave Ste 103
Fresno, CA 93720-0357

Phone

(559) 421-9009

Fax

(559) 922-2422

NPI assigned

Nov 29, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Praveen Buddiga, M.D.NPI 1598703480

Title

Owner

Phone

(559) 421-9009

Specialties & licenses 1

Addresses

Other names 1

• FAMILY ALLERGY ASTHMA CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Praveen Buddiga, M.D.

  • Allergy Physician
  • Fresno, CA
  • NPI 1598703480
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1073056735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 N CHESTNUT AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200357",
            "telephone_number": "559-421-9009",
            "fax_number": "559-922-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 N CHESTNUT AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200357",
            "telephone_number": "559-421-9009",
            "fax_number": "559-922-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAVEEN BUDDIGA MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "BUDDIGA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-421-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "90273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY ALLERGY ASTHMA CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sorawan Prasertthanabut, PHARMD,RPH.
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• Marcelle Pratt, PSYD
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• Thomas Antonio Preciado
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• Anthony Dwayne Pree
• Simrin Preet

• Allergy Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.