Bhooma, Vinay Kumar

Bhooma, Vinay Kumar is an individual health care provider with primary practice located at 3 Saint Elizabeth Blvd Ste 4000 , O Fallon IL 62269-1284. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bhooma, Vinay Kumar can be contacted via phone (618) 233-5480.

Contact Information

Primary practice address
3 Saint Elizabeth Blvd Ste 4000 O Fallon IL 62269-1284
Fax: (618) 222-4790
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01072949A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01072949 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036150270 Illinois

Profile Details

NPI number 1730317702
LBN Legal business name Bhooma, Vinay Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2009
Last updated Apr 8th, 2021 - about 4 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 1730317702 NPPES
Indiana MEDICAID 201188610

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