Individual
JAGANMOHAN R VEMULAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
442 WEST HIGH STREET, MIDWEST COMMUNITY HEALTH ASSOCIATES, BRYAN, OH 43506-1681
(419) 636-4517
(419) 636-6438
Mailing address
442 WEST HIGH STREET, MIDWEST COMMUNITY HEALTH ASSOCIATES, BRYAN, OH 43506-1681
(419) 636-4517
(419) 636-6438
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35046091
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0457894
—
OH
01
—
340006104
RAILROAD
OH
Enumeration date
07/16/2006
Last updated
06/18/2012
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