Organization
R. VEDALA AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANGANATH VEDALA M.D. (OWNER)
(812) 235-0124
Entity
Organization
Contact information
Practice address
2901 OHIO BLVD, SUITE 127, TERRE HAUTE, IN 47803-2239
(812) 234-8261
(812) 234-8262
Mailing address
2901 OHIO BLVD, SUITE 127, TERRE HAUTE, IN 47803-2239
(812) 234-8261
(812) 234-8262
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01027928
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000102940
BC/BS GROUP #
IN
05
—
200085210
—
IN
Enumeration date
08/22/2006
Last updated
05/07/2013
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