Kalasapudi, Vasundhara
Kalasapudi, Vasundhara is an individual health care provider with primary practice located at 99 Hillside Ave Ste O , Williston Park NY 11596-2350. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Kalasapudi, Vasundhara can be contacted via phone (516) 859-5125.Contact Information
Primary practice address
99 Hillside Ave Ste O
Williston Park NY 11596-2350
Phone: (516) 859-5125
Fax: (516) 746-4244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 219449 | New York |
Profile Details
| NPI number | 1720200520 |
|---|---|
| LBN Legal business name | Kalasapudi, Vasundhara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1720200520 | NPPES |
| New York | MEDICAID | 02440408 | |
| New York | Other | 219449 |
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