Pai, Vittal T

Pai, Vittal T is an sole proprietor health care provider with primary practice located at 2415 S Telshor Blvd , Las Cruces NM 88011-5049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Pai, Vittal T can be contacted via phone (575) 522-7977.

Contact Information

Primary practice address
2415 S Telshor Blvd Las Cruces NM 88011-5049
Fax: (575) 522-0930
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 74-218 New Mexico

Profile Details

NPI number 1295731651
LBN Legal business name Pai, Vittal T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Jan 30th, 2013 - about 13 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 1295731651 NPPES
New Mexico MEDICAID 00001347

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