Anmangandla, Vidyasagar
Anmangandla, Vidyasagar is an sole proprietor health care provider with primary practice located at 10583 Theodore Green Blvd White Plains Medical Center, White Plains MD 20695. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anmangandla, Vidyasagar can be contacted via phone (301) 934-9300.Contact Information
Primary practice address
10583 Theodore Green Blvd White Plains Medical Center
White Plains MD 20695
Phone: (301) 934-9300
Fax: (301) 934-6963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0026064 | Maryland |
Profile Details
| NPI number | 1073589206 |
|---|---|
| LBN Legal business name | Anmangandla, Vidyasagar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Jun 24th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073589206 | NPPES |
| Maryland | MEDICAID | 769601900 |
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