Individual
VIJAYAMALA BONDUGULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
32361
AL
207Q00000X
Family Medicine Physician
MT188910
PA
2084N0400X
Neurology Physician
Primary
85325
GA
Other
Enumeration date
05/14/2007
Last updated
12/07/2020
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