Bollampally, Soumya
Bollampally, Soumya is an sole proprietor health care provider with primary practice located at 200 Bowman Dr Ste E385 Back , Voorhees NJ 08043-9638. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Bollampally, Soumya can be contacted via phone (856) 840-4534.Contact Information
Primary practice address
200 Bowman Dr Ste E385 Back
Voorhees NJ 08043-9638
Phone: (856) 840-4534
Fax: (856) 762-2853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | OS017602 | Pennsylvania |
Profile Details
| NPI number | 1205156445 |
|---|---|
| LBN Legal business name | Bollampally, Soumya |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2010 |
| Last updated | Nov 8th, 2024 - about 2 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 | 1205156445 | NPPES |
| New Jersey | MEDICAID | 0497061 |
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