Individual
MRS. BHARATHI S VAYUVEGULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1624 S GRAND AVE, GLENDORA, CA 91740-5433
(626) 914-0174
(626) 914-2008
Mailing address
1624 S GRAND AVE, GLENDORA, CA 91740-5433
(626) 914-0174
(626) 914-2008
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A73424
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A7324
—
CA
Enumeration date
06/25/2006
Last updated
01/05/2022
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