Kalasapudi, Vasundhara

Kalasapudi, Vasundhara is an individual health care provider with primary practice located at 99 Hillside Ave Ste O , Williston Park NY 11596-2350. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Kalasapudi, Vasundhara can be contacted via phone (516) 859-5125.

Contact Information

Primary practice address
99 Hillside Ave Ste O Williston Park NY 11596-2350
Phone: (516) 859-5125
Fax: (516) 746-4244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 219449 New York

Profile Details

NPI number 1720200520
LBN Legal business name Kalasapudi, Vasundhara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 9th, 2007 - about 19 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 1720200520 NPPES
New York MEDICAID 02440408
New York Other 219449

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