Reddy, Prathima Vemuru

Reddy, Prathima Vemuru is an sole proprietor health care provider with primary practice located at 1 Walton Street , Wakefield MA 01880. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Reddy, Prathima Vemuru can be contacted via phone (781) 246-9131.

Contact Information

Primary practice address
1 Walton Street Wakefield MA 01880
Fax: (781) 246-9159
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 71487 Massachusetts

Profile Details

NPI number 1669447298
LBN Legal business name Reddy, Prathima Vemuru
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Feb 5th, 2008 - about 17 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 1669447298 NPPES
Massachusetts Other 071487 TUFTS
Massachusetts Other 65035 TUFTS
Massachusetts MEDICAID 3054420 TUFTS
Massachusetts Other J09157 TUFTS
Massachusetts Other 73308 TUFTS
Massachusetts Other 0401419 TUFTS
Massachusetts Other 587634 TUFTS
Massachusetts Other B10071201 TUFTS

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