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Contact Information

VIJAYAMALA BONDUGULA, MD
743 SPRING ST NE
GAINESVILLE, GA30501-3715
 Phone: 770-219-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for VIJAYAMALA BONDUGULA · (Female)

NPI Number 1053526871
Status Active
Credentials MD
Entity Individual
Enumeration date 05/14/2007
Last updated 12/07/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 32361
  • GA License # 85325
  • PA License # MT188910
Hospital affiliation(s)
  • BARROW REGIONAL MEDICAL CENTER - (Acute Care)
    316 NORTH BROAD STREET
    WINDER, GA 30680
  • EMORY EASTSIDE MEDICAL CENTER - (Acute Care)
    1700 MEDICAL WAY
    SNELLVILLE, GA 30078
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
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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