Individual
DR. RAHUL VEMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 MONMOUTH RD STE 201, WEST LONG BRANCH, NJ 07764-1021
(732) 963-0809
(732) 963-0814
Mailing address
107 MONMOUTH RD STE 201, WEST LONG BRANCH, NJ 07764-1021
(732) 963-0809
(733) 963-0814
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA09861800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD.205950
LOUISIANA MEDICAL LICENSE
LA
Enumeration date
06/22/2008
Last updated
12/30/2019
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