Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301088413 | MI |
Y | 207VX0000X | Obstetrician | A108156 | CA |
NPI | 1063627362 |
---|---|
Provider Name | Dr. Madhavi Durga Vemulapalli |
First Address | Walnut Creek, CA 94598-3059 |
Second Address | Walnut Creek, CA 94598-3059 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 13/04/2020 |