Bhoopal, Vasireddy

Bhoopal, Vasireddy is an sole proprietor health care provider with primary practice located at 12800 S Ridgeland Ave Suite E, Palos Heights IL 60463-2390. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Bhoopal, Vasireddy can be contacted via phone (708) 388-4911.

Contact Information

Primary practice address
12800 S Ridgeland Ave Suite E Palos Heights IL 60463-2390
Phone: (708) 388-4911
Fax: (708) 388-4933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 036-056748 Illinois

Profile Details

NPI number 1154333961
LBN Legal business name Bhoopal, Vasireddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1154333961 NPPES
Illinois Other 036-056748 ILLINOIS LICENCE NUMBER

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