Vegesna, Raj Viswanadh
Vegesna, Raj Viswanadh is an individual health care provider with primary practice located at 1217 Kearney Street Ste 2, Port Huron MI 48060. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Vegesna, Raj Viswanadh can be contacted via phone (810) 990-8302.Contact Information
Primary practice address
1217 Kearney Street Ste 2
Port Huron MI 48060
Phone: (810) 990-8302
Fax: (810) 990-8402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301094437 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 43010944377 | Michigan |
Profile Details
| NPI number | 1417280017 |
|---|---|
| LBN Legal business name | Vegesna, Raj Viswanadh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2009 |
| Last updated | Apr 10th, 2024 - about 2 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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