Tangella, Vijaya Venkata
Tangella, Vijaya Venkata is an individual health care provider with primary practice located at 739 Chappell Dr , Raleigh NC 27606-3215. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Tangella, Vijaya Venkata can be contacted via phone (919) 832-3909.Contact Information
Primary practice address
739 Chappell Dr
Raleigh NC 27606-3215
Phone: (919) 832-3909
Fax: (919) 832-3035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 1439 | North Carolina |
Profile Details
| NPI number | 1174691232 |
|---|---|
| LBN Legal business name | Tangella, Vijaya Venkata |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174691232 | NPPES |
| North Carolina | Other | 14195 | BCBS OF NC |
| North Carolina | MEDICAID | 6107363 | BCBS OF NC |
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