Vanguri, Poornima

Vanguri, Poornima is an individual health care provider with primary practice located at 365 Lennon Ln Ste 290 , Walnut Creek CA 94598-5915. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Vanguri, Poornima can be contacted via phone (925) 274-9000.

Contact Information

Primary practice address
365 Lennon Ln Ste 290 Walnut Creek CA 94598-5915
Phone: (925) 274-9000
Fax: (925) 274-9004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME 126670 Florida
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X ME126670 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X ME126670 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116021363 Virginia
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X A166381 California

Profile Details

NPI number 1144457375
LBN Legal business name Vanguri, Poornima
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2009
Last updated May 18th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144457375 NPPES
California Other A166381 MEDICAL LICENSE

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