Puppala, Vinaya K.

Puppala, Vinaya K. is an sole proprietor health care provider with primary practice located at 403 Permian Way Ste D , Villa Rica GA 30180-3252. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Puppala, Vinaya K. can be contacted via phone (770) 627-7246.

Contact Information

Primary practice address
403 Permian Way Ste D Villa Rica GA 30180-3252
Phone: (770) 627-7246
Fax: (855) 332-9452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036126601 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 71014 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 71014 Georgia

Profile Details

NPI number 1548426810
LBN Legal business name Puppala, Vinaya K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2008
Last updated Mar 17th, 2018 - about 7 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 1548426810 NPPES
Georgia MEDICAID 003142006

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