Bhamidipati, Vinay
Bhamidipati, Vinay is an individual health care provider with primary practice located at 4900 W Oakland Park Blvd Ste 105 , Lauderdale Lakes FL 33313-1555. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bhamidipati, Vinay can be contacted via phone (954) 945-3530.Contact Information
Primary practice address
4900 W Oakland Park Blvd Ste 105
Lauderdale Lakes FL 33313-1555
Phone: (954) 945-3530
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 277330 | Massachusetts |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME139011 | Florida |
Profile Details
| NPI number | 1174919872 |
|---|---|
| LBN Legal business name | Bhamidipati, Vinay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2015 |
| Last updated | Aug 1st, 2023 - about 3 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 | 1174919872 | NPPES |
| Florida | Other | ME139011 | FLORIDA MEDICAL LICENSE |
| Florida | Other | 277330 | FLORIDA MEDICAL LICENSE |
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