Kondev, Vanja
Kondev, Vanja is an sole proprietor health care provider with primary practice located at 340 Capitol Ave , Bridgeport CT 06606-5412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kondev, Vanja can be contacted via phone (203) 367-5589.Contact Information
Primary practice address
340 Capitol Ave
Bridgeport CT 06606-5412
Phone: (203) 367-5589
Fax: (203) 330-0838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 040615 | Connecticut |
Profile Details
| NPI number | 1053332957 |
|---|---|
| LBN Legal business name | Kondev, Vanja |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Mar 27th, 2009 - about 16 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 | 1053332957 | NPPES |
| Connecticut | MEDICAID | 001406158 |
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