Vasantha Samala M.D.

NPI 1053430033 - Internal Medicine - 207RP1001X

NPI Details
NPI 1053430033
Gender Female
Enumeration Date 03/28/2007
Last Updated 06/03/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
700 E OGDEN AVE
SUITE 202
WESTMONT IL, 60559-5569, US
Phone (630) 789-9785
Fax (630) 789-9798
Business Location
700 E OGDEN AVE
SUITE 202
WESTMONT IL, 60559-5569, US
Phone (630) 789-9785
Fax (630) 789-9798
Toxanomy
Taxonomy Code 207RP1001X
License State Illinois
License Number 036112098
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According to our database, Dr. Vasantha Samala M.D. NPI is 1053430033, taxonomy code is 207RP1001X and license number is 036112098, license state is located at Illinois. Vasantha Samala M.D. physically located at 700 E Ogden Ave, Westmont IL, 60559-5569. NPI Number Vasantha Samala M.D. has the Individual type.

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1053430033 NPI number is provided on an as is basis without warranty of any kind. 1053430033 is maintained by the National Plan & Provider Enumeration System. The contents of Vasantha Samala M.D. are for informational purposes only.