Vemula, Vasundhara-Devi

Vemula, Vasundhara-Devi is an sole proprietor health care provider with primary practice located at 810 5Th Ave Ste 100 , San Rafael CA 94901-3252. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Vemula, Vasundhara-Devi can be contacted via phone (415) 994-9906.

Contact Information

Primary practice address
810 5Th Ave Ste 100 San Rafael CA 94901-3252
Phone: (415) 994-9906
Fax: (415) 295-7080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C145223 California
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X C145223 California

Profile Details

NPI number 1972599405
LBN Legal business name Vemula, Vasundhara-Devi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Sep 28th, 2023 - about last year

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 1972599405 NPPES
Kentucky MEDICAID 64067812
Kentucky Other 37984
Kentucky Other 177740
Kentucky Other C145223

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