Organization
VINOD K VINJAMURI MD LLC
Active
Other names
GLENEDEN BEACH MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
VINOD K VINJAMURI MD (PHYSICIAN)
(541) 764-3360
Entity
Organization
Contact information
Practice address
6615 GLENEDEN BEACH LOOP, GLENEDEN BEACH, OR 97388
(541) 764-3360
(541) 764-3362
Mailing address
PO BOX 279, GLENEDEN BEACH, OR 97388-0279
(541) 764-3360
(541) 764-3362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18179
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051867
—
OR
Enumeration date
08/01/2006
Last updated
03/13/2015
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