Channamsetty, Vijayasimham

Channamsetty, Vijayasimham is an individual health care provider with primary practice located at 295 Varnum Ave , Lowell MA 01854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Channamsetty, Vijayasimham can be contacted via phone (978) 937-6235.

Contact Information

Primary practice address
295 Varnum Ave Lowell MA 01854
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 41465 Massachusetts

Profile Details

NPI number 1598715765
LBN Legal business name Channamsetty, Vijayasimham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Aug 22nd, 2018 - about 7 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 1598715765 NPPES
Massachusetts MEDICAID 2069458

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