Gongidi, Vikranth Reddy
Gongidi, Vikranth Reddy is an individual health care provider with primary practice located at 787 37Th St Ste 250 , Vero Beach FL 32960-7305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Gongidi, Vikranth Reddy can be contacted via phone (772) 494-0794.Contact Information
Primary practice address
787 37Th St Ste 250
Vero Beach FL 32960-7305
Phone: (772) 494-0794
Fax: (772) 494-0745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101016957 | Michigan |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MB08595000 | New Jersey |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | OS11675 | Florida |
Profile Details
| NPI number | 1609098581 |
|---|---|
| LBN Legal business name | Gongidi, Vikranth Reddy |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Nov 1st, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609098581 | NPPES |
| Florida | MEDICAID | 005437700 | |
| Florida | Other | 14L1Y |
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