Chivukula, Vasudha
Chivukula, Vasudha is an individual health care provider with primary practice located at 1097B N Church St , Hazle Township PA 18202-1465. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Chivukula, Vasudha can be contacted via phone (272) 639-5650.Contact Information
Primary practice address
1097B N Church St
Hazle Township PA 18202-1465
Phone: (272) 639-5650
Fax: (242) 639-5651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA065828 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | OA007154 | Pennsylvania |
Profile Details
| NPI number | 1982435129 |
|---|---|
| LBN Legal business name | Chivukula, Vasudha |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2024 |
| Last updated | Feb 3rd, 2025 - about last year |
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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