Puttaswamygowda, Vishwanath Valagerehally
Puttaswamygowda, Vishwanath Valagerehally is an sole proprietor health care provider with primary practice located at 6914 41 St Ave Unit C1, Woodside NY 11377. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Puttaswamygowda, Vishwanath Valagerehally can be contacted via phone (718) 308-6918.Contact Information
Primary practice address
6914 41 St Ave Unit C1
Woodside NY 11377
Phone: (718) 308-6918
Fax: (718) 803-2434
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 223041 | New York |
Profile Details
NPI number | 1710118435 |
---|---|
LBN Legal business name | Puttaswamygowda, Vishwanath Valagerehally |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 29th, 2009 |
Last updated | Apr 21st, 2017 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710118435 | NPPES |
New York | MEDICAID | 03260455 |
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