Individual
NITANTH REDDY VANGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1866 N ORANGE GROVE AVE, SUITE # 202, POMONA, CA 91767-3031
(909) 623-8796
(909) 623-3076
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A97827
CA
207RI0011X
Interventional Cardiology Physician
Primary
A97827
CA
Other
Enumeration date
07/06/2007
Last updated
05/20/2021
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