Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 0101257013 | VA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 201301876 | NC |
NPI | 1174782627 |
---|---|
Provider Name | Dr. Vamsi M Singaraju |
First Address | Chester, VA 23836-8632 |
Second Address | Colonial Heights, VA 23834-2986 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 05/12/2017 |