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Individual

DR. POORNIMA VANGURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
365 LENNON LN STE 290, WALNUT CREEK, CA 94598-5915
(925) 274-9000
(925) 274-9004
Mailing address
365 LENNON LN STE 290, WALNUT CREEK, CA 94598-5915
(925) 274-9000
(925) 274-9004

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A166381
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A166381
MEDICAL LICENSE
CA
Enumeration date
06/15/2009
Last updated
02/10/2025
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