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Individual

DR. VENKATACHALA NAGAPPA VITALPUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2431 BARCROFT CT, FORT WAYNE, IN 46804-5252
(260) 432-1659
(260) 432-1659
Mailing address
2431 BARCROFT CT, FORT WAYNE, IN 46804-5252
(260) 432-1659
(260) 432-1659

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01029983A
IN

Other

Enumeration date
11/30/2006
Last updated
07/08/2007
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