Kanumilli, Mydhili
Kanumilli, Mydhili is an individual health care provider with primary practice located at 2647 S Saint Elizabeth Blvd , Gonzales LA 70737-5021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kanumilli, Mydhili can be contacted via phone (225) 647-8511.Contact Information
Primary practice address
2647 S Saint Elizabeth Blvd
Gonzales LA 70737-5021
Phone: (225) 647-8511
Fax: (225) 644-5213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD207526 | Louisiana |
Profile Details
| NPI number | 1023391620 |
|---|---|
| LBN Legal business name | Kanumilli, Mydhili |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2011 |
| Last updated | Apr 23rd, 2015 - about 10 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.
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