Individual
MATTHEW JOSEPH VENGALIL
Active
Individual
MATTHEW JOSEPH VENGALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036168543
IL
207L00000X
Anesthesiology Physician
Primary
111600
GA
207L00000X
Anesthesiology Physician
4301506463
MI
Other
Enumeration date
04/15/2018
Last updated
05/01/2026
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