Vasudevamurthy, Kolala

Vasudevamurthy, Kolala is an individual health care provider with primary practice located at 1900 E Main St Va Illiana Hcs, Danville IL 61832-5100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Vasudevamurthy, Kolala can be contacted via phone (217) 554-5495.

Contact Information

Primary practice address
1900 E Main St Va Illiana Hcs Danville IL 61832-5100
Phone: (217) 554-5495
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01026022A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036048860 Illinois

Profile Details

NPI number 1790759033
LBN Legal business name Vasudevamurthy, Kolala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 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 1790759033 NPPES
Indiana MEDICAID 200191580

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