Bangalore, Neelesh S

Bangalore, Neelesh S is an individual health care provider with primary practice located at 4600 S Tracy Blvd Ste 108 , Tracy CA 95377-8105. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bangalore, Neelesh S can be contacted via phone (209) 839-9115.

Contact Information

Primary practice address
4600 S Tracy Blvd Ste 108 Tracy CA 95377-8105
Phone: (209) 839-9115
Fax: (209) 833-7262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A70883 California

Profile Details

NPI number 1154326262
LBN Legal business name Bangalore, Neelesh S
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jun 25th, 2012 - about 12 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 1154326262 NPPES
California Other 900085684 TAX ID
California Other DC7234 TAX ID
California Other ZZZ08571Z TAX ID
California Other 00A708832 TAX ID
California MEDICAID 00A708831 TAX ID
California Other P00186385 TAX ID

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