Provider Demographics
NPI:1538861398
Name:VDNR INFUSION SERVICES LLC
Entity type:Organization
Organization Name:VDNR INFUSION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:RAJESHWER
Authorized Official - Middle Name:REDDY
Authorized Official - Last Name:PINGILI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:443-914-3454
Mailing Address - Street 1:5126 HONEY LOCUST CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-6017
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:821 N EUTAW ST STE 305
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-6303
Practice Address - Country:US
Practice Address - Phone:443-914-3454
Practice Address - Fax:443-810-2134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy