Raizada, Vivek
Raizada, Vivek is an individual health care provider with primary practice located at 3345 Plaza 10 Dr Suite B, Beaumont TX 77707-2554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Raizada, Vivek can be contacted via phone (409) 833-0444.Contact Information
Primary practice address
3345 Plaza 10 Dr Suite B
Beaumont TX 77707-2554
Phone: (409) 833-0444
Fax: (409) 833-9039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 062705100105 | Texas |
Profile Details
| NPI number | 1578564530 |
|---|---|
| LBN Legal business name | Raizada, Vivek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Dec 15th, 2009 - about 15 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 | 1578564530 | NPPES |
| Texas | MEDICAID | 176915001 |
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