Individual
DR. POORNIMA VANGURI
Active
Individual
DR. POORNIMA VANGURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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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