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Organization
VIJAYA K. TANGELLA MD, INC
Active
Organization
VIJAYA K. TANGELLA MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYA K TANGELLA M.D. (OWNER)
(209) 384-2704
Entity
Organization
Contact information
Practice address
750 W OLIVE AVE, SUITE 104, MERCED, CA 95348-2436
(209) 384-2704
Mailing address
750 W OLIVE AVE, SUITE 104, MERCED, CA 95348-2436
(209) 384-2704
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A045065
CA
207R00000X
Internal Medicine Physician
A045065
CA
Other
Enumeration date
01/27/2009
Last updated
12/26/2023
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