Provider Demographics
NPI:1154434272
Name:VANNIASINGHAM, VASANTHI MABEL (PHD, AP, DOM)
Entity type:Individual
Prefix:DR
First Name:VASANTHI
Middle Name:MABEL
Last Name:VANNIASINGHAM
Suffix:
Gender:F
Credentials:PHD, AP, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2423 NW 69TH TER
Mailing Address - Street 2:BARRINGTON PLACE
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6393
Mailing Address - Country:US
Mailing Address - Phone:352-262-5044
Mailing Address - Fax:
Practice Address - Street 1:804A NW 16TH AVE
Practice Address - Street 2:PECAN PARK
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-4012
Practice Address - Country:US
Practice Address - Phone:352-262-5044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2050171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC0983OtherBCBSF PROVIDER NUMBER