Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YP0228X | Pediatric Otolaryngology | G81757 | CA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | G81757 | CA |
NPI | 1598729998 |
---|---|
Provider Name | Satish Rao Vadapalli |
First Address | Valencia, CA 91355 |
Second Address | Valencia, CA 91355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 31/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G90548 | (02) |