Vallabhaneni, Vasudha

Vallabhaneni, Vasudha is an individual health care provider with primary practice located at 3180 Main St Suite 301, Bridgeport CT 06606-4237. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vallabhaneni, Vasudha can be contacted via phone (203) 373-9100.

Contact Information

Primary practice address
3180 Main St Suite 301 Bridgeport CT 06606-4237
Fax: (203) 365-8492
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036272 Connecticut

Profile Details

NPI number 1568421352
LBN Legal business name Vallabhaneni, Vasudha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated May 31st, 2013 - about 11 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 1568421352 NPPES
Connecticut MEDICAID 001362722

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