Adimoolam, Vijay Venkata
Adimoolam, Vijay Venkata is an sole proprietor health care provider with primary practice located at 6565 N Charles St Ste 512 , Baltimore MD 21204-6826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Adimoolam, Vijay Venkata can be contacted via phone (443) 849-3400.Contact Information
Primary practice address
6565 N Charles St Ste 512
Baltimore MD 21204-6826
Phone: (443) 849-3400
Fax: (443) 849-3402
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD-51129 | Iowa |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | N7385 | Texas |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 0101278304 | Virginia |
Profile Details
NPI number | 1588693857 |
---|---|
LBN Legal business name | Adimoolam, Vijay Venkata |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 30th, 2006 |
Last updated | Jan 16th, 2024 - about 11 months 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 | 1588693857 | NPPES |
Texas | MEDICAID | 218995301 |
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