Vatsa, Pravir R

Vatsa, Pravir R is an individual health care provider with primary practice located at 1023 Nipomo St # 110 , San Luis Obispo CA 93401-3882. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Vatsa, Pravir R can be contacted via phone (805) 439-2998.

Contact Information

Primary practice address
1023 Nipomo St # 110 San Luis Obispo CA 93401-3882
Phone: (805) 439-2998
Fax: (805) 439-2997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A95811 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A95811 California

Profile Details

NPI number 1003912239
LBN Legal business name Vatsa, Pravir R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Aug 17th, 2015 - about 10 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 1003912239 NPPES
California MEDICAID 00A958110
California Other 00A958110

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