Lall, Purandath

Lall, Purandath is an individual health care provider with primary practice located at 10080 Sw Innovation Way Ste 201 , Port St Lucie FL 34987-2129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Lall, Purandath can be contacted via phone (772) 344-3811.

Contact Information

Primary practice address
10080 Sw Innovation Way Ste 201 Port St Lucie FL 34987-2129
Phone: (772) 344-3811
Fax: (772) 344-3890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 47964 Minnesota
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 125959 Florida

Profile Details

NPI number 1992777338
LBN Legal business name Lall, Purandath
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Oct 14th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992777338 NPPES
Florida MEDICAID 020817900
Florida MEDICAID 182855000
Florida Other W81GM

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