Jegapragasan, Vannithamby
Jegapragasan, Vannithamby is an sole proprietor health care provider with primary practice located at 12660 Riverside Dr Ste 310320 , North Hollywood CA 91607-3429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jegapragasan, Vannithamby can be contacted via phone (818) 755-0391.Contact Information
Primary practice address
12660 Riverside Dr Ste 310320
North Hollywood CA 91607-3429
Phone: (818) 755-0391
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A54047 | California |
Profile Details
| NPI number | 1811072978 |
|---|---|
| LBN Legal business name | Jegapragasan, Vannithamby |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811072978 | NPPES |
| California | Other | P00133525 | RAILROAD |
| California | MEDICAID | 00A540470 | RAILROAD |
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