Jonnalagadda, Vasudevarao

Jonnalagadda, Vasudevarao is an individual health care provider with primary practice located at 3438 John F Kennedy Blvd , Jersey City NJ 07307-4166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Jonnalagadda, Vasudevarao can be contacted via phone (201) 420-0366.

Contact Information

Primary practice address
3438 John F Kennedy Blvd Jersey City NJ 07307-4166
Phone: (201) 420-0366
Fax: (201) 420-6422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA06324000 New Jersey
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 199878-1 New York

Profile Details

NPI number 1669470308
LBN Legal business name Jonnalagadda, Vasudevarao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 20th, 2015 - about 11 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 1669470308 NPPES
New York MEDICAID 01918538
New York Other P00094722
New York MEDICAID 7378106
New York MEDICAID 0036536
New York Other 043714808
New York Other DB2462

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