Bethala, Vasanth Kumar
Bethala, Vasanth Kumar is an individual health care provider with primary practice located at 1051 Gause Blvd. Suite 230, Slidell LA 70458. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bethala, Vasanth Kumar can be contacted via phone (985) 641-7577.Contact Information
Primary practice address
1051 Gause Blvd. Suite 230
Slidell LA 70458
Phone: (985) 641-7577
Fax: (985) 643-0826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 09114R | Louisiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 13115 | Mississippi |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 09114R | Louisiana |
Profile Details
| NPI number | 1548263999 |
|---|---|
| LBN Legal business name | Bethala, Vasanth Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Apr 13th, 2023 - about last year |
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 | 1548263999 | NPPES |
| Mississippi | MEDICAID | 00110414 | |
| Mississippi | MEDICAID | 1930636 | |
| Mississippi | Other | 060018918 |
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