Naidu, Vasanthan G

Naidu, Vasanthan G is an sole proprietor health care provider with primary practice located at 504 S Draper Ave , Champaign IL 61821-3842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Naidu, Vasanthan G can be contacted via phone (217) 778-5454.

Contact Information

Primary practice address
504 S Draper Ave Champaign IL 61821-3842
Phone: (217) 778-5454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.124108 Illinois

Profile Details

NPI number 1205000452
LBN Legal business name Naidu, Vasanthan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2008
Last updated Oct 3rd, 2011 - about 13 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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