Ponnathpur, Vidya Shankar
Ponnathpur, Vidya Shankar is an individual health care provider with primary practice located at 239 E Brown St Medical Assoc Of Monroe County, East Stroudsburg PA 18301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ponnathpur, Vidya Shankar can be contacted via phone (570) 421-3872.Contact Information
Primary practice address
239 E Brown St Medical Assoc Of Monroe County
East Stroudsburg PA 18301
Phone: (570) 421-3872
Fax: (570) 424-6631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD067991L | Pennsylvania |
Profile Details
| NPI number | 1588608103 |
|---|---|
| LBN Legal business name | Ponnathpur, Vidya Shankar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1588608103 | NPPES |
| Pennsylvania | Other | PO99417 | BC |
| Pennsylvania | MEDICAID | 0017414180001 | BC |
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