Devineni, Rajsekhar

Devineni, Rajsekhar is an individual health care provider with primary practice located at 1086 Franklin St , Johnstown PA 15905-4305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Devineni, Rajsekhar can be contacted via phone (814) 534-9407.

Contact Information

Primary practice address
1086 Franklin St Johnstown PA 15905-4305
Fax: (814) 534-5059
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD038892E Pennsylvania

Profile Details

NPI number 1588659254
LBN Legal business name Devineni, Rajsekhar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jun 22nd, 2015 - about 9 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 1588659254 NPPES
Pennsylvania MEDICAID 0011096970002

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