Bommineni, Vasudeva R
Bommineni, Vasudeva R is an individual health care provider with primary practice located at 685 Palm Springs Dr Suite 1B, Altamonte Springs FL 32701-7853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bommineni, Vasudeva R can be contacted via phone (407) 339-4447.Contact Information
Primary practice address
685 Palm Springs Dr Suite 1B
Altamonte Springs FL 32701-7853
Phone: (407) 339-4447
Fax: (407) 339-6649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME0079940 | Florida |
Profile Details
| NPI number | 1770576845 |
|---|---|
| LBN Legal business name | Bommineni, Vasudeva R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Feb 22nd, 2008 - about 18 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 | 1770576845 | NPPES |
| Florida | Other | 49866 | BCBS |
| Florida | Other | 269230 | BCBS |
| Florida | Other | P00184306 | BCBS |
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