Tangella, Vijaya K
Tangella, Vijaya K is an sole proprietor health care provider with primary practice located at 750 W Olive Ave Suite 104, Merced CA 95348-2436. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Other Service Providers / Specialist is her primary health care specialty. Tangella, Vijaya K can be contacted via phone (209) 384-3115.Contact Information
Primary practice address
750 W Olive Ave Suite 104
Merced CA 95348-2436
Phone: (209) 384-3115
Fax: (209) 384-0878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A45065 | California |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A45065 | California |
Profile Details
| NPI number | 1902024623 |
|---|---|
| LBN Legal business name | Tangella, Vijaya K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Dec 11th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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