SRIJA VANGALA

FORT WAYNE, IN
NPI1558795799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01076910A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-08-23
Last Update Date2022-08-15
Business Address
SRIJA VANGALA MD
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-672-6620
Mailing Address
SRIJA VANGALA MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: