Malligere Basavaraju, Venugopal
Malligere Basavaraju, Venugopal is an sole proprietor health care provider with primary practice located at 10801 Lindley Ave , Granada Hills CA 91344-4441. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Malligere Basavaraju, Venugopal can be contacted via phone (818) 275-4700.Contact Information
Primary practice address
10801 Lindley Ave
Granada Hills CA 91344-4441
Phone: (818) 275-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 18729 | California |
Profile Details
| NPI number | 1679312722 |
|---|---|
| LBN Legal business name | Malligere Basavaraju, Venugopal |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2024 |
| Last updated | May 20th, 2024 - about last year |
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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