Visvalingam, Bhanu

Visvalingam, Bhanu is an sole proprietor health care provider with primary practice located at 5111 S Ridgewood Ave Ste 301 , Port Orange FL 32127-5170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Visvalingam, Bhanu can be contacted via phone (386) 304-7070.

Contact Information

Primary practice address
5111 S Ridgewood Ave Ste 301 Port Orange FL 32127-5170
Phone: (386) 304-7070
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME96546 Florida
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME 96546 Florida

Profile Details

NPI number 1336132844
LBN Legal business name Visvalingam, Bhanu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Mar 28th, 2024 - about 6 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 1336132844 NPPES
Florida MEDICAID 2767441-00

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