Raghavan, Vasanthy

Raghavan, Vasanthy is an individual health care provider with primary practice located at 801 W Oak St Suite 101, Kissimmee FL 34741-6614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Raghavan, Vasanthy can be contacted via phone (407) 846-3455.

Contact Information

Primary practice address
801 W Oak St Suite 101 Kissimmee FL 34741-6614
Phone: (407) 846-3455
Fax: (407) 846-3670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME69257 Florida

Profile Details

NPI number 1255328001
LBN Legal business name Raghavan, Vasanthy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jun 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255328001 NPPES
Florida MEDICAID 250066300

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