Kolanuvada, Bangaruraju
Kolanuvada, Bangaruraju is an sole proprietor health care provider with primary practice located at 970 N Broadway Ste 206, Yonkers NY 10701-1310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kolanuvada, Bangaruraju can be contacted via phone (914) 969-7100.Contact Information
Primary practice address
970 N Broadway Ste 206
Yonkers NY 10701-1310
Phone: (914) 969-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 228890 | New York |
Profile Details
| NPI number | 1689648545 |
|---|---|
| LBN Legal business name | Kolanuvada, Bangaruraju |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Dec 20th, 2021 - about 3 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 | 1689648545 | NPPES |
| New York | MEDICAID | 02499383 |
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