Individual
DR. VAIJAYANTHI DEEVAKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 S BRYN MAWR AVE, H WING, SUITE 321, BRYN MAWR, PA 19010-3121
(484) 337-4097
(484) 337-4082
Mailing address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(484) 337-4097
(484) 337-4082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD424872
PA
208M00000X
Hospitalist Physician
Primary
MD424872
PA
Other
Enumeration date
02/13/2006
Last updated
04/28/2017
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