1598927816 NPI number — VENKAT REDDY-VANGALA M D INC

Table of content: (NPI 1598927816)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598927816 NPI number — VENKAT REDDY-VANGALA M D INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VENKAT REDDY-VANGALA M D INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598927816
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18002 HIGHWAY 18
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
APPLE VALLEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92307-2125
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-946-6000
Provider Business Mailing Address Fax Number:
760-242-3502

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18002 HIGHWAY 18
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APPLE VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92307-2125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-946-6000
Provider Business Practice Location Address Fax Number:
760-242-3502
Provider Enumeration Date:
06/27/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VANGALA
Authorized Official First Name:
VENKAT
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
760-946-6000

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00A406660 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".