Guduguntla, Vamshidhar
Guduguntla, Vamshidhar is an individual health care provider with primary practice located at 25195 Kelly Rd Suite A, Roseville MI 48066-4909. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Guduguntla, Vamshidhar can be contacted via phone (586) 775-4594.Contact Information
Primary practice address
25195 Kelly Rd Suite A
Roseville MI 48066-4909
Phone: (586) 775-4594
Fax: (586) 775-4506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301063528 | Michigan |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 4301063528 | Michigan |
Profile Details
| NPI number | 1174525729 |
|---|---|
| LBN Legal business name | Guduguntla, Vamshidhar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Mar 7th, 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 | 1174525729 | NPPES |
| Michigan | Other | 060-501-2281 | BLUE CROSS BLUE SHIELD |
| Michigan | MEDICAID | 4472707 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | OH-26467013 | BLUE CROSS BLUE SHIELD |
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