Organization
DASARATHA R VEMIREDDY MD INC
Active
Organization
DASARATHA R VEMIREDDY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DASARATHA R VEMIREDDY M.D. (DOCTOR)
(209) 826-0477
Entity
Organization
Contact information
Practice address
400 W I ST STE A, LOS BANOS, CA 93635-3459
(209) 826-0477
(209) 826-0686
Mailing address
400 W I ST STE A, LOS BANOS, CA 93635-3459
(209) 826-0477
(209) 826-0686
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
A32138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A321380
PTAN
CA
Enumeration date
12/06/2010
Last updated
12/06/2010
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