Samala, Vasantha
Samala, Vasantha is an individual health care provider with primary practice located at 700 E Ogden Ave Suite 202, Westmont IL 60559-5569. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Samala, Vasantha can be contacted via phone (630) 789-9785.Contact Information
Primary practice address
700 E Ogden Ave Suite 202
Westmont IL 60559-5569
Phone: (630) 789-9785
Fax: (630) 789-9798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036112098 | Illinois |
Profile Details
| NPI number | 1053430033 |
|---|---|
| LBN Legal business name | Samala, Vasantha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jun 3rd, 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 | 1053430033 | NPPES |
| Illinois | Other | P00694043 | MEDICARE RAILROAD |
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