Individual
MR. SREENIVAS P VANGARA
Active
Individual
MR. SREENIVAS P VANGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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