Thakallapali, Sandhya

Thakallapali, Sandhya is an individual health care provider with primary practice located at 319 W Landis Ave , Vineland NJ 08360-8101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thakallapali, Sandhya can be contacted via phone (856) 451-4700.

Contact Information

Primary practice address
319 W Landis Ave Vineland NJ 08360-8101
Fax: (856) 451-8685
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA08538300 New Jersey

Profile Details

NPI number 1710128046
LBN Legal business name Thakallapali, Sandhya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2009
Last updated Mar 17th, 2009 - about 17 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 1710128046 NPPES
New Jersey MEDICAID PENDING

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