Vallabhaneni, Purnima
Vallabhaneni, Purnima is an individual health care provider with primary practice located at 3084 State Route 27 Suite 1, Kendall Park NJ 08824-1657. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vallabhaneni, Purnima can be contacted via phone (732) 821-0873.Contact Information
Primary practice address
3084 State Route 27 Suite 1
Kendall Park NJ 08824-1657
Phone: (732) 821-0873
Fax: (732) 297-7356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07524200 | New Jersey |
Profile Details
| NPI number | 1316945645 |
|---|---|
| LBN Legal business name | Vallabhaneni, Purnima |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | May 21st, 2014 - about 10 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 | 1316945645 | NPPES |
| New Jersey | MEDICAID | 9113703 |
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