Vasudeva, Indi

Vasudeva, Indi is an sole proprietor health care provider with primary practice located at 4218 W Linebaugh Ave , Tampa FL 33624-5241. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Vasudeva, Indi can be contacted via phone (813) 961-6633.

Contact Information

Primary practice address
4218 W Linebaugh Ave Tampa FL 33624-5241
Phone: (813) 961-6633
Fax: (813) 961-7733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME93153 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME93153 Florida

Profile Details

NPI number 1629074596
LBN Legal business name Vasudeva, Indi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2005
Last updated Feb 16th, 2022 - about 4 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 1629074596 NPPES
Florida Other ME93153 FLORIDA MEDICAL LICENSE

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