Valluru, Pardha S
Valluru, Pardha S is an individual health care provider with primary practice located at 2601 Ocean Pkwy , Brooklyn NY 11235-7745. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Valluru, Pardha S can be contacted via phone (718) 616-4408.Contact Information
Primary practice address
2601 Ocean Pkwy
Brooklyn NY 11235-7745
Phone: (718) 616-4408
Fax: (718) 616-4105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | 203580 | New York |
Profile Details
| NPI number | 1497773303 |
|---|---|
| LBN Legal business name | Valluru, Pardha S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1497773303 | NPPES |
| New York | MEDICAID | 01756032 |
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