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Organization

SREENIVAS P VANGARA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SREENIVAS P VANGARA MD (PRESIDENT)
(727) 848-3995
Entity
Organization

Contact information

Practice address
5515 GULF DRIVE, SUITE B, NEW PORT RICHEY, FL 34652
(727) 848-3995
(727) 843-9400
Mailing address
5515 GULF DRIVE, SUITE B, NEW PORT RICHEY, FL 34652
(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
05
253520300
FL
Enumeration date
12/04/2007
Last updated
12/20/2013
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