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Organization
SYAM VUNNAMADALA, M.D., INC
Active
Organization
SYAM VUNNAMADALA, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYAM VUNNAMADALA M.D. (OWNER)
(714) 491-3928
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE, 310, ANAHEIM, CA 92801-2815
(714) 491-3928
Mailing address
1211 W LA PALMA AVE, 310, ANAHEIM, CA 92801-2815
(714) 491-3928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A64189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A641890
—
CA
Enumeration date
02/08/2008
Last updated
02/08/2008
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