Vavilala, Rajendra Prasad

Vavilala, Rajendra Prasad is an individual health care provider with primary practice located at 20770 Greenfield Rd , Oak Park MI 48237-3018. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Vavilala, Rajendra Prasad can be contacted via phone (248) 548-9935.

Contact Information

Primary practice address
20770 Greenfield Rd Oak Park MI 48237-3018
Phone: (248) 548-9935
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302037903 Michigan

Profile Details

NPI number 1710264551
LBN Legal business name Vavilala, Rajendra Prasad
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2011
Last updated Mar 1st, 2012 - about 13 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 1710264551 NPPES
Michigan MEDICAID 5302037903

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