Vinnakota, Radha

Vinnakota, Radha is an sole proprietor health care provider with primary practice located at 2013 Park Ave , South Plainfield NJ 07080-5401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Vinnakota, Radha can be contacted via phone (908) 753-2662.

Contact Information

Primary practice address
2013 Park Ave South Plainfield NJ 07080-5401
Fax: (908) 753-2633
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X NJMA30649 New Jersey

Profile Details

NPI number 1184718306
LBN Legal business name Vinnakota, Radha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Oct 4th, 2019 - about 6 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 1184718306 NPPES
New Jersey MEDICAID 1347101

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