Individual
DR. KALYANI SWAYAMVARA VANGALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1808 S PENNSYLVANIA AVE, SUITE E, LANSING, MI 48910-1897
(517) 371-1500
(517) 371-1501
Mailing address
1800 BRAMBLE DR, EAST LANSING, MI 48823-1730
(517) 337-1595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301082969
MI
207RI0200X
Infectious Disease Physician
4301082969
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M21440079
MEDICARE PLUS BLUE
MI
01
—
1063041
MCLAREN HEALTH ADVANTAGE
MI
01
—
1103311922
BLUE CROSS BLUE SHIELD OF MICHIGAN/BLUE CARE NETWORK
MI
01
—
200000026019
PHP COMMERCIAL
MI
01
—
7367303
AETNA
MI
Enumeration date
07/07/2006
Last updated
03/01/2021
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