Individual
DR. SANJAY K VANGURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-3432
Mailing address
11105 FEN VIEW LN, MONROVIA, MD 21770-6078
(410) 490-8868
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0064092
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411277600
—
MD
Enumeration date
05/30/2006
Last updated
10/14/2023
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