Organization
SHARATH RENIGUNTALA MD INC
Active
Other names
VEIN CLINIC CA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARATH RENIGUNTALA MD (OWNER)
(312) 550-1409
Entity
Organization
Contact information
Practice address
431 N TUSTIN AVE STE B, SANTA ANA, CA 92705-3821
(949) 272-9919
Mailing address
113 SOURCE, IRVINE, CA 92618-1370
(312) 550-1409
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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