Vasa, Nirmala

Vasa, Nirmala is an individual health care provider with primary practice located at Southside Virginia Training Center 26317 West Washington Street Ext, Petersburg VA 23803-0030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vasa, Nirmala can be contacted via phone (804) 524-7294.

Contact Information

Primary practice address
Southside Virginia Training Center 26317 West Washington Street Ext Petersburg VA 23803-0030
Phone: (804) 524-7294
Fax: (804) 524-7030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101034736 Virginia

Profile Details

NPI number 1801874821
LBN Legal business name Vasa, Nirmala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 8th, 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 1801874821 NPPES
Virginia Other 0101034736 LICENCE UNMBER

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