Pavuluri, Pushpa
Pavuluri, Pushpa is an individual health care provider with primary practice located at 1802 E 10Th St , Jeffersonville IN 47130-6016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Pavuluri, Pushpa can be contacted via phone (812) 288-2488.Contact Information
Primary practice address
1802 E 10Th St
Jeffersonville IN 47130-6016
Phone: (812) 288-2488
Fax: (770) 573-9513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36739 | Kentucky |
Profile Details
| NPI number | 1194771204 |
|---|---|
| LBN Legal business name | Pavuluri, Pushpa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Oct 7th, 2019 - about 5 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 | 1194771204 | NPPES |
| Kentucky | Other | P00307134 | RR MEDICARE |
| Kentucky | MEDICAID | 64101884 | RR MEDICARE |
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