Banala, Dwaraknadh R
Banala, Dwaraknadh R is an sole proprietor health care provider with primary practice located at 620 S Lake St Suite #6, Leesburg FL 34748-6059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Banala, Dwaraknadh R can be contacted via phone (352) 365-0099.Contact Information
Primary practice address
620 S Lake St Suite #6
Leesburg FL 34748-6059
Phone: (352) 365-0099
Fax: (352) 315-0578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME80590 | Florida |
Profile Details
| NPI number | 1437106614 |
|---|---|
| LBN Legal business name | Banala, Dwaraknadh R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2006 |
| Last updated | Jan 11th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437106614 | NPPES |
| Florida | MEDICAID | 2729423 00 |
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