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Contact Information

SURYA R VAADYALA, DO
782 NORTH MEDICAL CENTER DRIVE EAST, SUTIE 309
CLOVIS, CA93611
 Phone: 559-387-2150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SURYA R VAADYALA · (Male)

NPI Number 1558823286
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/02/2019
Last updated 10/16/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 20A19497
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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