Vallabhaneni, Purnima

Vallabhaneni, Purnima is an individual health care provider with primary practice located at 3084 State Route 27 Suite 1, Kendall Park NJ 08824-1657. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vallabhaneni, Purnima can be contacted via phone (732) 821-0873.

Contact Information

Primary practice address
3084 State Route 27 Suite 1 Kendall Park NJ 08824-1657
Phone: (732) 821-0873
Fax: (732) 297-7356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07524200 New Jersey

Profile Details

NPI number 1316945645
LBN Legal business name Vallabhaneni, Purnima
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated May 21st, 2014 - about 12 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 1316945645 NPPES
New Jersey MEDICAID 9113703

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