Bhooma, Vinay Kumar
Bhooma, Vinay Kumar is an individual health care provider with primary practice located at 3 Saint Elizabeth Blvd Ste 4000 , O Fallon IL 62269-1284. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bhooma, Vinay Kumar can be contacted via phone (618) 233-5480.Contact Information
Primary practice address
3 Saint Elizabeth Blvd Ste 4000
O Fallon IL 62269-1284
Phone: (618) 233-5480
Fax: (618) 222-4790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01072949A | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01072949 | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036150270 | Illinois |
Profile Details
| NPI number | 1730317702 |
|---|---|
| LBN Legal business name | Bhooma, Vinay Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2009 |
| Last updated | Apr 8th, 2021 - about 5 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 | 1730317702 | NPPES |
| Indiana | MEDICAID | 201188610 |
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