Boyapati, Yasoda Vardhani

Boyapati, Yasoda Vardhani is an individual health care provider with primary practice located at 1300 S Gregg St , Big Spring TX 79720-4325. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Boyapati, Yasoda Vardhani can be contacted via phone (432) 517-4557.

Contact Information

Primary practice address
1300 S Gregg St Big Spring TX 79720-4325
Phone: (432) 517-4557
Fax: (432) 517-4556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 28310 Texas

Profile Details

NPI number 1164778080
LBN Legal business name Boyapati, Yasoda Vardhani
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2012
Last updated Feb 26th, 2014 - about 10 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 1164778080 NPPES
Texas MEDICAID 281971602

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