Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | MD427176 | PA |
NPI | 1588629539 |
---|---|
Provider Name | Dr. Vasanthi Pugazhendhi |
First Address | Danville, PA 17822-3034 |
Second Address | Danville, PA 17822-1339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 10/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101384971 | (05) | PA |
H78232 | (02) |