Individual
DR. SANJAY V. VADGAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4955 VAN NUYS BLVD, 502, SHERMAN OAKS, CA 91403-1801
(818) 325-0200
(818) 325-0210
Mailing address
4955 VAN NUYS BLVD STE 502, SHERMAN OAKS, CA 91403-1817
(818) 325-0200
(818) 325-0210
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A80650
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A806500
—
CA
Enumeration date
02/22/2006
Last updated
11/01/2007
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