Vasudevan, Vinodh
Vasudevan, Vinodh is an individual health care provider with primary practice located at 9059 W Lake Pleasant Pkwy Ste E-540 , Peoria AZ 85382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Vasudevan, Vinodh can be contacted via phone (632) 322-3380.Contact Information
Primary practice address
9059 W Lake Pleasant Pkwy Ste E-540
Peoria AZ 85382
Phone: (632) 322-3380
Fax: (623) 322-4399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35728 | Arizona |
Profile Details
| NPI number | 1528179884 |
|---|---|
| LBN Legal business name | Vasudevan, Vinodh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 22nd, 2019 - about 5 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 | 1528179884 | NPPES |
| Arizona | MEDICAID | 168411-01 |
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