Maddela, Vincent Joseph

Maddela, Vincent Joseph is an individual health care provider with primary practice located at 2701 Chester Ave # 201 , Bakersfield CA 93301-2016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Maddela, Vincent Joseph can be contacted via phone (661) 716-1070.

Contact Information

Primary practice address
2701 Chester Ave # 201 Bakersfield CA 93301-2016
Phone: (661) 716-1070
Fax: (661) 716-1075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A53726 California

Profile Details

NPI number 1851430797
LBN Legal business name Maddela, Vincent Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Feb 21st, 2013 - about 11 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 1851430797 NPPES
California Other ZZZ01707Z MEDICARE GROUP #
California Other GR0092950 MEDICARE GROUP #
California Other ZZZ01800Z MEDICARE GROUP #

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