# VINOD K VINJAMURI MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GLENEDEN BEACH MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508873779
- **Authorized official:** VINOD K VINJAMURI MD (PHYSICIAN)
- **Authorized official phone:** (541) 764-3360

## Contact information

- **Practice address:** 6615 GLENEDEN BEACH LOOP, GLENEDEN BEACH, OR 97388
- **Practice address phone:** (541) 764-3360
- **Practice address fax:** (541) 764-3362
- **Mailing address:** PO BOX 279, GLENEDEN BEACH, OR 97388-0279
- **Mailing address phone:** (541) 764-3360
- **Mailing address fax:** (541) 764-3362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD18179 | OR | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 03/13/2015