Individual
VAMSI SRINIVAS SANAGALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(623) 561-0000
Mailing address
4944 NORTHDALE DR, FREMONT, CA 94536-7350
(510) 366-8159
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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