Vangala, Venkat R
Vangala, Venkat R is an sole proprietor health care provider with primary practice located at 18002 Highway 18 , Apple Valley CA 92307-2125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Vangala, Venkat R can be contacted via phone (706) 946-6000.Contact Information
Primary practice address
18002 Highway 18
Apple Valley CA 92307-2125
Phone: (706) 946-6000
Fax: (760) 242-3502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 00A406660 | California |
Profile Details
| NPI number | 1376576066 |
|---|---|
| LBN Legal business name | Vangala, Venkat R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Mar 23rd, 2009 - about 15 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 | 1376576066 | NPPES |
| California | MEDICAID | 00A406660 |
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