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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710118435 NPPES
New York MEDICAID 03260455

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