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Individual
DR. SANDHYA PANGULURI
Active
Individual
DR. SANDHYA PANGULURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A52988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A529880
—
CA
01
—
4301056464
LICENSE
MI
01
—
A52988
LICENSE
CA
01
—
WA52988B
PPIN
CA
Enumeration date
10/06/2006
Last updated
03/07/2023
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