Individual
DR. MADHAVI CHANDRA TANGIRALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1387
(541) 963-8421
Mailing address
390 HAMPTON PL, MORGANVILLE, NJ 07751-1734
(732) 331-7154
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD158187
OR
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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