Kidambi, Vasudevan Anjore

Kidambi, Vasudevan Anjore is an sole proprietor health care provider with primary practice located at 3200 Sw 34Th Ave Suite 302, Ocala FL 34474-7456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kidambi, Vasudevan Anjore can be contacted via phone (352) 732-2900.

Contact Information

Primary practice address
3200 Sw 34Th Ave Suite 302 Ocala FL 34474-7456
Phone: (352) 732-2900
Fax: (352) 732-4430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0068971 Florida

Profile Details

NPI number 1093799298
LBN Legal business name Kidambi, Vasudevan Anjore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated Oct 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093799298 NPPES
Florida MEDICAID 379283800

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