Vejendla Physician Pc, Umamaheswara Rao

Vejendla Physician Pc, Umamaheswara Rao is an sole proprietor health care provider with primary practice located at 152 Foote Ave , Jamestown NY 14701-6940. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Vejendla Physician Pc, Umamaheswara Rao can be contacted via phone (716) 664-5290.

Contact Information

Primary practice address
152 Foote Ave Jamestown NY 14701-6940
Phone: (716) 664-5290
Fax: (716) 664-7630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 2142791 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 214279-1 New York

Profile Details

NPI number 1053429829
LBN Legal business name Vejendla Physician Pc, Umamaheswara Rao
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Mar 13th, 2024 - about 9 months 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 1053429829 NPPES
New York Other 040426003867 FIDELIS
New York Other 21017301 FIDELIS
New York Other 52060000 FIDELIS
New York Other 0410963 FIDELIS
New York MEDICAID 02050080 FIDELIS
New York Other 525874001 FIDELIS
New York Other 161070314 FIDELIS

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