# DR. VASUNDHARA-DEVI VEMULA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1972599405
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | C145223 | CA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | C145223 | CA | Yes |

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 09/28/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 177740 | NEW YORK LICENSE \# | NY |
| 01 | — | 37984 | KENTUCKY LICENSE \# | KY |
| 05 | — | 64067812 | — | KY |
| 01 | — | C145223 | CALIFORNIA MEDICAL LICENSE | CA |