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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336132844 | NPPES |
| Florida | MEDICAID | 2767441-00 |
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