| Vasu Medical Group Inc | |
|
5965 E Broad Street Suite 210 Columbus OH 43213 | |
| (614) 856-9732 | |
| (614) 856-9738 |
| Full Name | Vasu Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5965 E Broad Street, Columbus, Ohio |
| Authorized Official Name and Position | Veena Gaddam (PRESIDENT) |
| Authorized Official Contact | 6148569732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vasu Medical Group Inc 5965 E Broad St Suite 210 Columbus OH 43213-1562 Ph: (614) 856-9732 | Vasu Medical Group Inc 5965 E Broad Street Suite 210 Columbus OH 43213 Ph: (614) 856-9732 |
| NPI Number | 1215031927 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 07/02/2013 |
| Medicare PECOS PAC ID | 2062417918 |
|---|---|
| Medicare Enrollment ID | O20060927000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215031927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35088374 (Ohio) | Primary |
| Provider Name | Veena Gaddam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346256930 PECOS PAC ID: 1153328653 Enrollment ID: I20061025000682 |
| Provider Name | Delica Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972036119 PECOS PAC ID: 1557638772 Enrollment ID: I20170518001375 |
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