Individual
DR. VIJAY KUMAR VANAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 834-3564
(760) 773-1605
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 834-3564
(760) 773-1605
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A173799
CA
207RP1001X
Pulmonary Disease Physician
Primary
A173799
CA
Other
Enumeration date
01/23/2013
Last updated
03/04/2022
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