Vietla, Bhavani Durga
Vietla, Bhavani Durga is an sole proprietor health care provider with primary practice located at 2864 Route 27 Suite D, North Brunswick NJ 08902-5010. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vietla, Bhavani Durga can be contacted via phone (732) 297-4272.Contact Information
Primary practice address
2864 Route 27 Suite D
North Brunswick NJ 08902-5010
Phone: (732) 297-4272
Fax: (732) 297-3785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA06986200 | New Jersey |
Profile Details
| NPI number | 1831137215 |
|---|---|
| LBN Legal business name | Vietla, Bhavani Durga |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Feb 21st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831137215 | NPPES |
| New Jersey | Other | P01130911 | RAILROAD MEDICARE |
| New Jersey | MEDICAID | 0006734 | RAILROAD MEDICARE |
| New Jersey | Other | P01008431 | RAILROAD MEDICARE |
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