Chandan Vangala M.D.

NPI 1811250855 - Internal Medicine - 207R00000X

NPI Details
NPI 1811250855
Gender Male
Enumeration Date 06/22/2012
Last Updated 05/08/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
3401 N BROAD ST
PHILADELPHIA PA, 19140-5103, US
Phone (215) 707-3416
Fax
Business Location
3401 N BROAD ST
PHILADELPHIA PA, 19140-5103, US
Phone (215) 707-3416
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MT202133
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According to our database, Dr. Chandan Vangala M.D. NPI is 1811250855, taxonomy code is 207R00000X and license number is MT202133, license state is located at Pennsylvania. Chandan Vangala M.D. physically located at 3401 N Broad St, Philadelphia PA, 19140-5103. NPI Number Chandan Vangala M.D. has the Individual type.

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1811250855 NPI number is provided on an as is basis without warranty of any kind. 1811250855 is maintained by the National Plan & Provider Enumeration System. The contents of Chandan Vangala M.D. are for informational purposes only.