Nandhakumar, Ayyavoo

Nandhakumar, Ayyavoo is an sole proprietor health care provider with primary practice located at 1376 Bucktail Rd , Saint Marys PA 15857-3212. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Nandhakumar, Ayyavoo can be contacted via phone (814) 781-6565.

Contact Information

Primary practice address
1376 Bucktail Rd Saint Marys PA 15857-3212
Fax: (814) 781-1985
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD047983L Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD047983L Pennsylvania

Profile Details

NPI number 1902947062
LBN Legal business name Nandhakumar, Ayyavoo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2007
Last updated May 12th, 2008 - about 16 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 1902947062 NPPES
Pennsylvania Other 000067822 HIGHMARK
Pennsylvania MEDICAID 0014734060004 HIGHMARK
Pennsylvania Other 050002703 HIGHMARK

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