Kamineni, Vijay G.T.
Kamineni, Vijay G.T. is an individual health care provider with primary practice located at 2500 N Detroit St , Lagrange IN 46761-1158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kamineni, Vijay G.T. can be contacted via phone (260) 463-2133.Contact Information
Primary practice address
2500 N Detroit St
Lagrange IN 46761-1158
Phone: (260) 463-2133
Fax: (260) 463-3775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01061449A | Indiana |
Profile Details
| NPI number | 1043278294 |
|---|---|
| LBN Legal business name | Kamineni, Vijay G.T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Apr 18th, 2024 - about 5 months 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 | 1043278294 | NPPES |
| Indiana | MEDICAID | 200821610 |
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