Thevanayagam, Vasuki

Thevanayagam, Vasuki is an individual health care provider with primary practice located at 2878 Niagara Falls Blvd , Amherst NY 14228-2020. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Thevanayagam, Vasuki can be contacted via phone (716) 693-2861.

Contact Information

Primary practice address
2878 Niagara Falls Blvd Amherst NY 14228-2020
Fax: (716) 693-7028
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 049037 New York

Profile Details

NPI number 1316924954
LBN Legal business name Thevanayagam, Vasuki
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2005
Last updated Jul 9th, 2007 - 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 1316924954 NPPES
New York MEDICAID 02122003
New York Other 0015696

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