Individual
DR. VIKRAM SWAROOP KANAGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 773-2882
(760) 773-2680
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 773-2882
(760) 773-2680
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
55518
WI
207RG0100X
Gastroenterology Physician
Primary
A152928
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407000748
—
WI
05
—
CB297477
—
CA
Enumeration date
11/13/2008
Last updated
03/16/2021
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