National Provider Identifier Database

VENKAT REDDY VANGALA MD INC
Ambulatory Surgical


Contact Information

VENKAT REDDY VANGALA M.D. INC
18002 HIGHWAY 18
APPLE VALLEY, CA92307
Phone: 760-242-5505
Fax: 760-242-3502
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for VENKAT REDDY VANGALA M.D. INC

NPI Number 1629265715
Legal business name
LBN
VENKAT REDDY VANGALA M.D. INC
Authorized official NRIUPAMA VANGALA - (ADMIN)
Entity Organization
Organization subpart No
Enumeration date 10/02/2007
Last updated 02/27/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 051183
  • CA Medicaid: SUR01183F

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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