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Contact Information

GEETHA G VEDULA, MD
1776 N PINE ISLAND RD STE 214
PLANTATION, FL33322
 Phone: 310-206-1166
 Fax: 310-301-8713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for GEETHA G VEDULA · (Female)

NPI # 1700048501
Status Active
Credentials MD
Entity Individual
Enumeration date 07/02/2008
Last updated 04/14/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A108911
  • FL License # ME107675
  • CA Medicaid 00A1089110
  • FL Medicaid 003568900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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