Bandikatla, Thejaswi

Bandikatla, Thejaswi is an individual health care provider with primary practice located at 590 Ruby Ct , Maitland FL 32751-5226. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bandikatla, Thejaswi can be contacted via phone (407) 677-4867.

Contact Information

Primary practice address
590 Ruby Ct Maitland FL 32751-5226
Phone: (407) 677-4867
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 135000 Florida

Profile Details

NPI number 1346595139
LBN Legal business name Bandikatla, Thejaswi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2012
Last updated Jan 5th, 2021 - about 3 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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