Raju, Vadrevu K
Raju, Vadrevu K is an sole proprietor health care provider with primary practice located at 1255 Pineview Dr , Morgantown WV 26505-2738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Raju, Vadrevu K can be contacted via phone (304) 598-3301.Contact Information
Primary practice address
1255 Pineview Dr
Morgantown WV 26505-2738
Phone: (304) 598-3301
Fax: (304) 225-0516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 11294 | West Virginia |
Profile Details
| NPI number | 1346248127 |
|---|---|
| LBN Legal business name | Raju, Vadrevu K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Jun 14th, 2019 - about 6 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 | 1346248127 | NPPES |
| West Virginia | MEDICAID | 0096681000 | |
| West Virginia | MEDICAID | 0007123000 |
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