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DR. MARTINA VENDRAME MD PHD NPI 1063659225

NPI Profile

NPI: 1063659225

Provider Name: DR. MARTINA VENDRAME, MD PHD

Classification: Psychiatry & Neurology - 2084N0400X

Entity Type: Individual

Specialization: Neurology

Organization: PROSPECT HEALTH ACCESS NETWORK INC

PECOS Registration: Yes

Address:
1707 MEADOWS LN
SUITE A
VIDALIA, GA
ZIP 30474

Phone: (912) 538-0003

DR. Martina Vendrame, MD PHD is a neurology psychiatry neurology in Vidalia, GA with 18 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Martina Vendrame, MD PHD NPI is 1063659225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1707 MEADOWS LN
SUITE A
VIDALIA, GA
ZIP 30474-200
Phone: (912) 538-0003
Fax: (912) 538-7444

The NPI 1063659225 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 1/9/2009 and was last updated on 6/28/2016.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207RS0012X Internal Medicine Sleep Medicine 36129378 ILLINOIS No
2 204D00000X Neuromusculoskeletal Medicine & OMM 36129378 ILLINOIS No
3 207RS0012X Internal Medicine Sleep Medicine 070921 GEORGIA No
4 2084N0400X Psychiatry & Neurology Neurology MD458011 PENNSYLVANIA Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/12/2017