Vrindavanam, Nandagopal S
Vrindavanam, Nandagopal S is an individual health care provider with primary practice located at 6555 Cortez Rd W , Bradenton FL 34210-2608. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Vrindavanam, Nandagopal S can be contacted via phone (727) 344-6569.Contact Information
Primary practice address
6555 Cortez Rd W
Bradenton FL 34210-2608
Phone: (727) 344-6569
Fax: (727) 384-4388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ME126543 | Florida |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | Q8181 | Texas |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ME126543 | Florida |
Profile Details
| NPI number | 1912994971 |
|---|---|
| LBN Legal business name | Vrindavanam, Nandagopal S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jan 24th, 2020 - about 4 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 | 1912994971 | NPPES |
| Florida | Other | 7FNM3 | BCBS FL |
| Florida | Other | LI140 | BCBS FL |
| Florida | MEDICAID | 103361400 | BCBS FL |
| Florida | MEDICAID | 3590879-01 | BCBS FL |
| Florida | Other | LI139 | BCBS FL |
| Florida | Other | 7FNM3 | BCBS FL |
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