Individual
DR. GURUNADH ATMARAM VEMULAKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 853-2974
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 853-2974
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A105147
CA
207W00000X
Ophthalmology Physician
MD60022492
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0239555
L&I
WA
05
—
1235157207
—
WA
Enumeration date
07/18/2006
Last updated
05/29/2020
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