Organization
VENKAT REDDY-VANGALA M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKAT R VANGALA M D (PRESIDENT)
(760) 946-6000
Entity
Organization
Contact information
Practice address
18002 HIGHWAY 18, APPLE VALLEY, CA 92307-2125
(760) 946-6000
(760) 242-3502
Mailing address
18002 HIGHWAY 18, APPLE VALLEY, CA 92307-2125
(760) 946-6000
(760) 242-3502
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A406660
—
CA
Enumeration date
06/27/2008
Last updated
03/23/2009
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