Bollampalli, Vidyasagar Reddy

Bollampalli, Vidyasagar Reddy is an sole proprietor health care provider with primary practice located at 1720 S Queen St , York PA 17403-4632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bollampalli, Vidyasagar Reddy can be contacted via phone (717) 848-4225.

Contact Information

Primary practice address
1720 S Queen St York PA 17403-4632
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD036692E Pennsylvania

Profile Details

NPI number 1194868018
LBN Legal business name Bollampalli, Vidyasagar Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194868018 NPPES
Pennsylvania MEDICAID 0015282640001

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