Individual
MR. SREENIVAS P VANGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5515 GULF DR, STE B, NEW PORT RICHEY, FL 34652-4033
(727) 848-3995
(727) 843-9400
Mailing address
5515 GULF DR, STE B, NEW PORT RICHEY, FL 34652-4033
(727) 848-3995
(727) 843-9400
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0073512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10284201
CITRUS
—
01
—
207438
AMERIGROUP
—
01
—
22749
WELLCARE
—
01
—
244209
AVMED
—
05
—
253520300
—
FL
01
—
29-87441
UHC
—
01
—
42633
BCBS
—
01
—
5319635
AETNA
—
Enumeration date
07/28/2005
Last updated
12/18/2009
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