Patil, Vandana Bhanudas
Patil, Vandana Bhanudas is an individual health care provider with primary practice located at 522 S 4Th St Ste 1700 , Fulton NY 13069-2918. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Patil, Vandana Bhanudas can be contacted via phone (315) 592-3930.Contact Information
Primary practice address
522 S 4Th St Ste 1700
Fulton NY 13069-2918
Phone: (315) 592-3930
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 240784 | New York |
Profile Details
| NPI number | 1285735027 |
|---|---|
| LBN Legal business name | Patil, Vandana Bhanudas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Mar 29th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285735027 | NPPES |
| New York | Other | 5147P | MEDICARE ID |
| New York | MEDICAID | 2971410 | MEDICARE ID |
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