Kondapalli, Venkat Yashaswi
Kondapalli, Venkat Yashaswi is an individual health care provider with primary practice located at 1200 W Main St Ste 9 , Peoria IL 61606-1218. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kondapalli, Venkat Yashaswi can be contacted via phone (309) 777-9777.Contact Information
Primary practice address
1200 W Main St Ste 9
Peoria IL 61606-1218
Phone: (309) 777-9777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019031291 | Illinois |
Profile Details
| NPI number | 1740704832 |
|---|---|
| LBN Legal business name | Kondapalli, Venkat Yashaswi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2017 |
| Last updated | Jul 31st, 2017 - about 9 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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