Individual
VIDYASAGAR R GURIJALA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1078 W BALTIMORE PIKE, HCC1, SUITE 206, MEDIA, PA 19063-5105
(610) 565-1278
Mailing address
1078 W BALTIMORE PIKE, HCC1, SUITE 206, MEDIA, PA 19063-5105
(610) 565-1278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD026491E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0714130
—
PA
Enumeration date
06/16/2006
Last updated
07/08/2007
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