Vadalia, Jwalant K

Vadalia, Jwalant K is an individual health care provider with primary practice located at 138 Webster Street , Manchester NH 03104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Vadalia, Jwalant K can be contacted via phone (603) 645-5977.

Contact Information

Primary practice address
138 Webster Street Manchester NH 03104
Fax: (603) 645-5980
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 9203 New Hampshire
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 9203 New Hampshire

Profile Details

NPI number 1578550232
LBN Legal business name Vadalia, Jwalant K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Jun 12th, 2019 - about 7 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 1578550232 NPPES
New Hampshire MEDICAID 80003103
New Hampshire MEDICAID 3071621
New Hampshire Other 0108830Y0NH01

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