Vaidyanathan, Rama
Vaidyanathan, Rama is an individual health care provider with primary practice located at 2514 S 102Nd St Ste. 160, West Allis WI 53227-2142. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vaidyanathan, Rama can be contacted via phone (414) 255-0300.Contact Information
Primary practice address
2514 S 102Nd St Ste. 160
West Allis WI 53227-2142
Phone: (414) 255-0300
Fax: (414) 543-9601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 47214 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | T9267 | Texas |
Profile Details
| NPI number | 1447226212 |
|---|---|
| LBN Legal business name | Vaidyanathan, Rama |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | May 18th, 2023 - about last year |
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 | 1447226212 | NPPES |
| Wisconsin | MEDICAID | 34566100 |
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