Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 2013023329 | MO |
Y | 2086S0129X | Vascular Surgeon | 4301083695 | MI |
NPI | 1053431841 |
---|---|
Provider Name | Dr. Chandu Vemuri |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 29/10/2019 |