Gandla, Vijaya Bhaskar

Gandla, Vijaya Bhaskar is an individual health care provider with primary practice located at 601 N Elm St , High Point NC 27262-4331. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gandla, Vijaya Bhaskar can be contacted via phone (336) 878-6419.

Contact Information

Primary practice address
601 N Elm St High Point NC 27262-4331
Phone: (336) 878-6419
Fax: (336) 878-6420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2008-00921 North Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2008-00921 North Carolina

Profile Details

NPI number 1821024100
LBN Legal business name Gandla, Vijaya Bhaskar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Aug 31st, 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 1821024100 NPPES
North Carolina Other 149YG BCBS OF NC
North Carolina MEDICAID 5910711 BCBS OF NC

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