Vavilala, Venkat

Vavilala, Venkat is an individual health care provider with primary practice located at 90 W 86Th Ave , Merrillville IN 46410-7086. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Vavilala, Venkat can be contacted via phone (219) 791-1555.

Contact Information

Primary practice address
90 W 86Th Ave Merrillville IN 46410-7086
Phone: (219) 791-1555
Fax: (219) 791-1560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01057614A Indiana

Profile Details

NPI number 1730186081
LBN Legal business name Vavilala, Venkat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Dec 13th, 2022 - about 2 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 1730186081 NPPES
Indiana MEDICAID 200442790
Indiana Other 000000285124
Indiana MEDICAID 100082060
Indiana Other P0037143

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