Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A42584 | CA |
N | 111NI0900X | Internist | A42584 | CA |
N | 207RC0200X | Critical Care Medicine | A42584 | CA |
Y | 207RP1001X | Pulmonary Disease | A42584 | CA |
N | 207RS0012X | Sleep Medicine | A42584 | CA |
NPI | 1073532529 |
---|---|
Provider Name | Karl P Vangundy |
First Address | Fresno, CA 93721-1431 |
Second Address | Fresno, CA 93710-5953 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 06/11/2019 |