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
Phone: (781) 246-9131
Fax: (781) 246-9159
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 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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