Vadada, Suresh
Vadada, Suresh is an individual health care provider with primary practice located at 661 S Trimble Rd , Mansfield OH 44906-3437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Vadada, Suresh can be contacted via phone (419) 774-0478.Contact Information
Primary practice address
661 S Trimble Rd
Mansfield OH 44906-3437
Phone: (419) 774-0478
Fax: (419) 774-9887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 35074411V | Ohio |
Profile Details
| NPI number | 1528065174 |
|---|---|
| LBN Legal business name | Vadada, Suresh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Feb 1st, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528065174 | NPPES |
| Ohio | Other | KI9260531 | GROUP MEDICARE |
| Ohio | Other | 0114549 | GROUP MEDICARE |
| Ohio | MEDICAID | 2072215 | GROUP MEDICARE |
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