Vasudeva, Sanjay

Vasudeva, Sanjay is an individual health care provider with primary practice located at 600 East Blvd , Elkhart IN 46514-2483. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Vasudeva, Sanjay can be contacted via phone (574) 523-3161.

Contact Information

Primary practice address
600 East Blvd Elkhart IN 46514-2483
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 01044609 Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01044609A Indiana

Profile Details

NPI number 1659348845
LBN Legal business name Vasudeva, Sanjay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Oct 17th, 2017 - about 8 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 1659348845 NPPES
Michigan MEDICAID 103221444
Michigan Other 110114090
Michigan MEDICAID 200082090
Michigan Other 000000082213

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