Mamidi, Avinash

Mamidi, Avinash is an individual health care provider with primary practice located at 805 Veterans Blvd , Redwood City CA 94063-1734. He recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as his primary health care specialty. Mamidi, Avinash can be contacted via phone (650) 853-6600.

Contact Information

Primary practice address
805 Veterans Blvd Redwood City CA 94063-1734
Phone: (650) 853-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 57504 California

Profile Details

NPI number 1588981880
LBN Legal business name Mamidi, Avinash
Credentials PHARM
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2010
Last updated Apr 26th, 2010 - about 14 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 1588981880 NPPES
California Other 57504 CA LICENSE

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