Vinayagasundaram, Bhanumathy
Vinayagasundaram, Bhanumathy is an individual health care provider with primary practice located at 640 Hawkins Avenue , Lake Ronkonkoma NY 11779. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vinayagasundaram, Bhanumathy can be contacted via phone (631) 737-0100.Contact Information
Primary practice address
640 Hawkins Avenue
Lake Ronkonkoma NY 11779
Phone: (631) 737-0100
Fax: (631) 471-1117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 240741 | New York |
Profile Details
| NPI number | 1841201282 |
|---|---|
| LBN Legal business name | Vinayagasundaram, Bhanumathy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Sep 22nd, 2021 - about 3 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 | 1841201282 | NPPES |
| New York | MEDICAID | 02879927 |
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