Mudvari, Sachin S

Mudvari, Sachin S is an individual health care provider with primary practice located at 4414 Lake Boone Trl Suite 302, Raleigh NC 27607-7513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Mudvari, Sachin S can be contacted via phone (919) 782-8038.

Contact Information

Primary practice address
4414 Lake Boone Trl Suite 302 Raleigh NC 27607-7513
Phone: (919) 782-8038
Fax: (919) 782-8189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036117885 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 200900397 North Carolina
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 200900397 North Carolina

Profile Details

NPI number 1023221199
LBN Legal business name Mudvari, Sachin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Sep 24th, 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 1023221199 NPPES
Illinois Other P00416350 RRMC
Illinois MEDICAID 036117885 RRMC

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