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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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